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Prior Authorization Jobs in Rochester, NY (NOW HIRING)

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 ...

New

Schweigerderm

Medical Assistant(Full time)

Rochester, NY

$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 ...

New

Anthony L. Jordan Health

MAAT CLINIC RN

Rochester, NY · On-site

$73K - $77K/yr

... prior authorizations for MAAT related medications and facilitate the coordination of MAAT related medications in terms of following up on prescriptions, prior authorizations, ensuring safe ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Rochester, NY

Prior Authorization information

See Rochester, NY salary details

$13

$20

$31

How much do prior authorization jobs pay per hour?

As of Jul 13, 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(Full time)

Schweigerderm

Canandaigua, NY • On-site

$18 - $22/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 3 days ago

New

Job description

Schweiger is one of the leading dermatology practices in the country with over 580+ healthcare providers and over 170+ offices in New York, New Jersey, Pennsylvania, Connecticut, Florida, Illinois, Missouri, Minnesota, and California. Schweiger provides medical, cosmetic, and surgical dermatology and allergy services with over 2.5 million patient visits annually.
Our mission is to create the Ultimate Patient Experience and a great working environment for our providers, support staff and all team members.
Schweiger has been included in the Inc. 5000 Fastest Growing Private Companies in America list for seven consecutive years. Schweiger has also received Great Place to Work certification. To learn more, click here.

Schweiger's Ultimate Employee Experience:

  • Multiple office locations, find an opportunity near your home

  • Positive work environment with the tools to need to do your job and grow

  • Full time employees(30+hours per week)are eligible for:

    • Medical (Virtual Care included), HSA/FSA, Dental,Visionon 1stof the month after hire date

    • 401K after 30 days of employment

    • Company Sponsored Short Term Disability (Only applicable for non-California employee)

    • Pre-tax savings availablefor public transit commuters

    • Your birthday isan additional personal holiday

  • Part-timeemployees(less than 30 hours) are eligible for:

    • Dental and Vision on 1stof the month after date of hire

    • 401K after 30 days of employment

  • Employee discounts on Schweiger skin care products & cosmetic services

Job Summary:Full-Time Medical Assistant at our (Canandaigua) Office. The Medical Assistant is responsible for performing the highest quality of medical, clinical, and clerical tasks in a medical setting. Previous healthcare experience is required. We employ college graduates and gap year students who have an interest in the medical field, whether you have majored in the sciences or are switching tracks, we want to help you on your journey!

Schedule:Full time, 30+ hours. Availability Monday through Friday with rotating Saturdays within operating hours of (7a-7:30p). Open Flexibility to help cover in a team environment is needed.

Medical Assistant

  • Promote a professional and welcoming atmosphere to enhance quality of service and care offered to patients and for respective provider(s)
  • Assist physician in medical, cosmetic and laser procedures
  • Assist provider in recording prescribed treatments, medications, biopsies, cultures, photos, prescriptions, 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 patients, including checking all equipment at the beginning of each shift to ensure all is in proper working order
  • Provide pre-care and post-care treatment instructions as needed
  • Daily scan all retail and cosmetic products and medical supplies and alert Head MA and/or GM of any low level supplies
  • Perform inventory responsibilities and stocking of supplies and equipment as requested
  • Attend all in-house training and continued education opportunities

Qualifications

  • Dermatology experience preferred
  • Healthcare experience required
  • Nationally Certified Medical Assistant preferred
  • Experience using EMR software and patient scheduling systems
  • Must be computer savvy and familiar with Microsoft Word, Excel and Outlook
  • Strong communication, interpersonal, and organizational skills
  • Excellent patient relation and customer services skills
  • Open availability to work during weekdays and weekends

Hourly Pay Range:$18 - $22

Schweiger, is an equal opportunity employer and does not discriminate in its hiring process with applicants, whether internal or external, because of race, creed, color, age, national origin, ancestry, religion, gender, sexual orientation, gender identity, disability, genetic information, veteran status, military status, application for military service or any other class per local, state or federal law.
Schweiger does not require vaccination for COVID-19 in order to be considered for employment; however, some state guidelines may require that we keep record of your vaccination status on file.

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