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Prior Authorization Jobs in Romeoville, IL (NOW HIRING)

ReliaMed

Prior Authorization Specialist

Aurora, IL · On-site

$19.50 - $21.50/hr

Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed to improving the lives of all who entrust us with their care and those who we entrust to provide it.

ReliaMed

Prior Authorization Specialist

Aurora, IL · On-site

$18 - $24/hr

Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed to improving the lives of all who entrust us with their care and those who we entrust to provide it.

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site

$20.25 - $26.25/hr

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Woodridge, IL | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before August 31, 2026! Join a mission ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site

$20.25 - $26.25/hr

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Woodridge, IL | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before August 31, 2026! Join a mission ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Woodridge, IL | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before August 31, 2026! Join a mission ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Romeoville, IL

Prior Authorization information

See Romeoville, IL salary details

$13

$21

$32

How much do prior authorization jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for prior authorization in Romeoville, IL is $21.30, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $23.51 per hour, depending on experience, location, and employer.

What is prior authorization?

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 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.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization 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 certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.
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Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Romeoville, IL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 2% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $44,312 per year, or $21.3 per hour.

Prior Authorization Specialist

Chicago Headache Center & Research Institute

Chicago, IL • On-site

$15 - $18/hr

Full-time

Medical, Dental, Retirement

Re-posted 28 days ago

Job description

This position involves working in a collegial environment with other motivated individuals. This person will work closely with medical providers in securing prior authorization for medications, imaging, and other treatments. 

Qualified candidate must possess:

Experience with medication prior authorizations (CoverMyMeds).

Experience with imaging prior authorizations (AIM, eViCore, etc.).

Experience with collecting copays.

Familiarity with medications and medical terminology.

Ability to communicate with patients on the phone and in an office setting.

Ability to communicate effectively and routinely with doctor, clinical staff, and office manager, other outside facilities, insurance companies and specialty pharmacies.

Willingness to maintain confidentiality of patient records and patient information.

Ability to navigate through EMR to find the required patient medical information.

Experience with Excel Spreadsheets.

Ability to complete benefits investigations as needed, review insurance denials and submit appeals when needed, prioritize workload, and develop a system to track prior authorizations needing additional follow up.

Excellent Customer Service Skills and exhibits compassionate care toward patients.

Willingness to complete other duties as assigned.

Qualified candidate must possess the ability to work independently and productively, be organized and cooperative under stressful conditions, and thrive in a teamwork environment.

Company Description

We are a team of collegial and motivated individuals who provide excellent patient care to people living with migraine or other headache conditions. Our corporate culture is one of respect, professionalism, and creativity that is patient-focused and provides motivation for improvement and advancement of personnel within the organization.