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Prior Authorization Jobs in Springfield, MA (NOW HIRING)

Prime Healthcare PC

Medical Assistant

Glastonbury, CT · On-site

$17.75 - $22.75/hr

... prior authorizations. We offer a full package of benefits including medical, voluntary dental, vision, life insurance, short and long- term disability. We also offer 401K, Profit Share, PTO/Sick pay ...

Prime Healthcare, PC

Medical Assistant

Glastonbury, CT · On-site

$17.75 - $22.75/hr

... prior authorizations. We offer a full package of benefits including medical, voluntary dental, vision, life insurance, short and long- term disability. We also offer 401K, Profit Share, PTO/Sick pay ...

Prime Healthcare PC

Medical Assistant

Hartford, CT · On-site

$18 - $23.25/hr

... prior authorizations. We offer a full package of benefits including medical, voluntary dental, vision, life insurance, short and long- term disability. We also offer 401K, Profit Share, PTO/Sick pay ...

Prime Healthcare, PC

Medical Assistant

West Hartford, CT · On-site

$18 - $23.25/hr

... prior authorizations. We offer a full package of benefits including medical, voluntary dental, vision, life insurance, short and long- term disability. We also offer 401K, Profit Share, PTO/Sick pay ...

Prime Healthcare, PC

Medical Assistant

East Hartford, CT · On-site

$17.50 - $22.50/hr

... prior authorizations. We offer a full package of benefits including medical, voluntary dental, vision, life insurance, short and long- term disability. We also offer 401K, Profit Share, PTO/Sick pay ...

Prime Healthcare PC

Medical Assistant

East Hartford, CT · On-site

$17.50 - $22.50/hr

... prior authorizations. We offer a full package of benefits including medical, voluntary dental, vision, life insurance, short and long- term disability. We also offer 401K, Profit Share, PTO/Sick pay ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Springfield, MA

Prior Authorization information

See Springfield, MA salary details

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$31

How much do prior authorization jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for prior authorization in Springfield, MA is $20.34, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $22.45 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.
More about Prior Authorization jobs

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The most popular types of Prior Authorization jobs in Springfield, MA are:

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For Prior Authorization jobs in Springfield, MA, the most frequently searched job titles are:

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The top searched job categories for Prior Authorization jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Prior Authorization jobs?

Cities near Springfield, MA with the most Prior Authorization job openings:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Springfield, MA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $42,298 per year, or $20.3 per hour.

Medical Assistant

Prime Healthcare PC

Glastonbury, CT • On-site

$17.75 - $22.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

High volume medical group seeking experienced Medical Assistant.
Must have the ability to handle administrative and clinical duties may include but are not limited to answering phones, making appointments, triaging calls, patient screening and brief assessment of problems, medication review, obtaining full vital signs, Urinalysis, EKG, A1C, scanning and obtaining prior authorizations.
We offer a full package of benefits including medical, voluntary dental, vision, life insurance, short and long- term disability. We also offer 401K, Profit Share, PTO/Sick pay and much more.
Requirements
  • COVID 19 Vaccination - Must be fully vaccinated and provide proof of vaccination prior to hire date.
  • Demonstrated written, verbal and interpersonal communication skills.
  • Epic experience a plus.
  • Medical Assistant Certification a plus

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