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Prior Authorizations Coordinator Jobs (NOW HIRING)

Serve as a central coordination point between prescribers, specialty pharmacies, payers, and ... Previous experience in managing prior authorizations or working knowledge of the prior ...

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Prior Authorizations Coordinator information

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How much do prior authorizations coordinator jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for prior authorizations coordinator in the United States is $21.32, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $22.12 per hour, depending on experience, location, and employer.

What is the difference between Prior Authorizations Coordinator vs Medical Billing Specialist?

AspectPrior Authorizations CoordinatorMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certification in medical billing or codingRequires medical coding certification (e.g., CPC), billing experience, and knowledge of insurance claims
Work EnvironmentHealthcare facilities, insurance companies, or physician offices, focusing on authorization processesMedical offices, billing companies, or healthcare providers, focusing on claims processing and billing
Employer & Industry UsageCommonly employed in healthcare settings to secure insurance approvalsUsed across healthcare providers for processing payments and claims

While both roles involve healthcare administration, the Prior Authorizations Coordinator focuses on obtaining insurance approvals before treatment, whereas the Medical Billing Specialist handles claims submission and payment processing after services are rendered.

Is a prior authorizations coordinator a stressful job?

A prior authorizations coordinator often faces stress due to tight deadlines, high workload, and the need for accuracy in processing insurance approvals. The role requires strong organizational skills and attention to detail, and workload can vary depending on the healthcare setting and volume of requests.

What cities are hiring for Prior Authorizations Coordinator jobs?

Cities with the most Prior Authorizations Coordinator job openings:

What are popular job titles related to Prior Authorizations Coordinator jobs?

For Prior Authorizations Coordinator jobs, the most frequently searched job titles are:

Prior Authorization Coordinator

San Francisco, CA โ€ข On-site

Vivo HealthStaff
Health Care and Social Assistanceย โ€ขย 11 - 50 employees

$100K - $120K/yr

Full-time

Re-posted 22 days ago


Job description

Our client is a fast-growing healthcare technology company building AI-driven software to reduce administrative complexity in the healthcare system. Their end-to-end platform empowers clinician entrepreneurs to launch, operate, and scale independent practices by pairing modern automation with robust operational infrastructure. Backed by more than $200M from top-tier investors, the company is transforming how providers manage their practices and deliver care.Role OverviewThe client is seeking a Prior Authorizations Lead to design, manage, and scale their prior authorization function. This role is ideal for an operator who excels at bringing structure to complexity, driving efficiency, and building systems that scale.The Prior Authorizations Lead will own the full authorization lifecycle-from intake and submission to payer follow-up and resolution-ensuring fast turnaround times and exceptional provider experience. The role requires a strategic, hands-on leader who can define workflows, streamline operations, and partner cross-functionally to leverage automation.Key ResponsibilitiesLead the end-to-end prior authorization process, including verification, documentation, submission, and payer follow-up.Build, optimize, and scale workflows to reduce turnaround times and increase authorization approval rates across multiple specialties.Partner with Product and Engineering to identify automation opportunities and develop tools that reduce manual work.Collaborate with RCM and Operations teams to ensure seamless handoffs across authorizations, billing, and care coordination.Develop and manage KPIs to track performance, identify operational bottlenecks, and drive continuous improvement.Train and manage internal team members and/or vendor partners to ensure consistent execution and compliance with payer guidelines.Maintain up-to-date knowledge of payer policies, clinical criteria, and regulatory changes that impact authorization processes.Build SOPs, playbooks, and documentation to support scaling into new states, payers, and clinical domains.QualificationsBachelor's degree required5–8 years of experience in healthcare operations, prior authorization management, or related RCM rolesDeep understanding of payer requirements, medical necessity standards, and authorization workflowsProven ability to lead cross-functional initiatives and manage high-volume operational processesAnalytical, systems-oriented thinker with a track record of improving turnaround times and accuracyExperience with automation tools or EMR/EHR integrations is a plusAbility to work fully in-person, 5 days per week, in San Francisco or New YorkCompensationEstimated Salary: $100,000–$140,000Total compensation may also include stock options. Final compensation will depend on experience, qualifications, and other relevant factors.


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About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

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