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Prior Authorization Jobs in Rochester, NY (NOW HIRING)

TRILLIUM HEALTH INC

Referral Specialist

Rochester, NY · On-site

$20 - $28.80/hr

Verify eligibility and obtain prior authorizations/pre-certifications as needed. * Route/fax medical documentation electronically and retrieve reports via RHIO. * Track referral status and assist ...

Oak Orchard Community Health Center

LPN

Brockport, NY · On-site

$27 - $30.50/hr

Initiates and completes all parts of medication prior-authorization requests based on insurance requirements. * Perform family medicine/pediatric ED recalls. * Perform machine/POCT controls in ...

Schweigerderm

Medical Assistant (Per Diem)

Brighton, NY · On-site

$16.50 - $21/hr

... prior authorization and procedures within established guidelines * Understand provider to patient flow and anticipate provider's next steps to the best of their ability * Prep rooms before and after ...

Oak Orchard Health

LPN

Brockport, NY · On-site

$27 - $30.50/hr

Initiates and completes all parts of medication prior-authorization requests based on insurance requirements. * Perform family medicine/pediatric ED recalls. * Perform machine/POCT controls in ...

Oak Orchard Health

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Initiates and completes all parts of medication prior-authorization requests based on insurance requirements. * Perform family medicine/pediatric ED recalls. * Perform machine/POCT controls in ...

Oak Orchard Community Health Center

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Initiates and completes all parts of medication prior-authorization requests based on insurance requirements. * Perform family medicine/pediatric ED recalls. * Perform machine/POCT controls in ...

Oak Orchard Community Health Center

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Initiates and completes all parts of medication prior-authorization requests based on insurance requirements. * Perform family medicine/pediatric ED recalls. * Perform machine/POCT controls in ...

Schweigerderm

Medical Assistant (Full Time)

Brighton, NY · On-site

$16.50 - $21/hr

... prior authorization and procedures within established guidelines * Understand provider to patient flow and anticipate provider's next steps to the best of their ability * Prep rooms before and after ...

Oak Orchard Community Health Center

LPN

Brockport, NY · On-site

$27 - $30.50/hr

Initiates and completes all parts of medication prior-authorization requests based on insurance requirements. * Perform family medicine/pediatric ED recalls. * Perform machine/POCT controls in ...

Oak Orchard Health

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Initiates and completes all parts of medication prior-authorization requests based on insurance requirements. * Perform family medicine/pediatric ED recalls. * Perform machine/POCT controls in ...

Schweigerderm

Medical Assistant (Full Time)

Brighton, NY · On-site

$16.50 - $21/hr

... prior authorization and procedures within established guidelines * Understand provider to patient flow and anticipate provider's next steps to the best of their ability * Prep rooms before and after ...

Schweigerderm

Medical Assistant(Full time)

Canandaigua, NY · On-site

$18 - $22/hr

... prior authorization and procedures within established guidelines * Understand provider to patient flow and anticipate provider's next steps to the best of their ability * Prep rooms before and after ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Rochester, NY

Prior Authorization information

See Rochester, NY salary details

$13

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$31

How much do prior authorization jobs pay per hour?

As of Jul 12, 2026, the average hourly pay for prior authorization in Rochester, NY is $20.62, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $22.79 per hour, depending on experience, location, and employer.

How to become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Professional Coder (CPC) can enhance job prospects.

What jobs pay $4000 a week without a degree?

Jobs that can pay $4,000 a week without a degree include certain sales roles, real estate agents, commercial pilots, and skilled trades such as electricians or plumbers with experience. These positions often require specialized skills, certifications, or licensing but do not necessarily require a college degree. High earnings typically depend on experience, performance, and the industry environment.

How much do precertification specialists make?

Precertification specialists typically earn between $35,000 and $55,000 annually, depending on experience, location, and employer. They often require knowledge of insurance policies and medical billing systems, and some roles may offer additional benefits or bonuses.

What Is Prior Authorization?

Prior authorization is a check done by insurance companies and other third-party payers to determine whether or not they should pay for a medical procedure or specific medication. Factors that can trigger prior authorization requests include things like age, the availability of alternative medicines, or the need to check for drug interactions. If they reject the prior authorization, payers often require doctors to attempt the insurance company's preferred procedure and verify unsuccessful results before accepting an alternative treatment plan. Pre-authorization requests can take up to 30 days, though insurance companies and healthcare providers are continuing to work on ways to cut this time down.

What are the key skills and qualifications needed to thrive as a Prior Authorization Specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by Prior Authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

What is the difference between Prior Authorization vs Medical Billing Specialist?

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

What is prior authorization in healthcare?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.

What career paths follow prior authorization?

Careers following prior authorization typically include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve working in insurance companies, healthcare providers, or pharmacy benefit management companies.
More about Prior Authorization jobs
What are the most commonly searched types of Prior Authorization jobs in Rochester, NY? The most popular types of Prior Authorization jobs in Rochester, NY are:
What are popular job titles related to Prior Authorization jobs in Rochester, NY? For Prior Authorization jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Rochester, NY look for? The top searched job categories for Prior Authorization jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Prior Authorization jobs? Cities near Rochester, NY with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Rochester, NY as of July 2026, with employment types broken down into 74% Full Time, and 26% Part Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $42,880 per year, or $20.6 per hour.
Medical Assistant - Float

Medical Assistant - Float

Rochester Regional Health

Rochester, NY • On-site

$17.85 - $20/hr

Full-time

Re-posted just now

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

263rd of 881 rated healthcare providers

Job description

Job Title: Medical Assistant - Float
Department: Primary Care
Location: Float
Hours Per Week: 40
Schedule: 8:00AM-4:30PM
SUMMARY:
The Float - Medical Assistant (MA) is responsible to float to ambulatory practices within primary care where a need has been identified. The Float - Medical Assistant (MA) is responsible to assist with providing clinical and clerical support to medical providers, in collaboration with nursing and medical support staff, in a medical office setting.
RESPONSIBILITIES:
  • Support patient care through pre-visit planning, reviewing reports for gaps, scheduling follow-ups, and completing health maintenance/registry work.
  • Obtain and document vital signs, patient history, screenings, medication lists, and perform point-of-care testing, phlebotomy, and EKGs with accurate documentation.
  • Assist providers with procedures, specimen collection, patient education, order entry, medication refills, and prior authorization requests.
  • Maintain exam rooms and clinical equipment by restocking supplies, checking calibration, preparing instruments for sterilization, and ensuring a clean, safe environment.
  • Collaborate with providers and nursing staff while maintaining adult and pediatric primary care competencies to ensure high-quality patient care.

REQUIRED QUALIFICATIONS:
  • Valid New York State (NYS) driver's license

PREFERRED QUALIFICATIONS:
  • Associates degree
  • Experience in pre-hospital care activities or acute/critical care experience
  • Medical Assistant Certification
  • Current Basic Life Support (BLS) certification

EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$17.85 - $20.00
CITY:
Rochester
POSTAL CODE:
14611
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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