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Senior Prior Authorization Analyst Jobs (NOW HIRING)

Slocum

Prior Authorization

Eugene, OR · On-site

$18 - $24/hr

Partner with the RCM Prior Authorization Supervisor and Team Lead to analyze denied claims ... senior leadership. * Communicate cross-functionally with providers and other Slocum departments ...

Cardinal Health

$16.75/hr

Job Summary The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment (DME) orders, including diabetes devices ...

MC-Rx

Prior Authorization Coordinator

Miramar, FL · On-site

$21 - $23/hr

Conduct comprehensive benefits verification and coverage analysis to identify prior authorization requirements, payer restrictions, and potential access barriers; initiate and track PA submissions ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

Conduct comprehensive benefits verification and coverage analysis to identify prior authorization requirements, payer restrictions, and potential access barriers; initiate and track PA submissions ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA

$21 - $23/hr

Conduct comprehensive benefits verification and coverage analysis to identify prior authorization requirements, payer restrictions, and potential access barriers; initiate and track PA submissions ...

MC-Rx

Prior Authorization Coordinator

Miramar, FL · On-site

$21 - $23/hr

Conduct comprehensive benefits verification and coverage analysis to identify prior authorization requirements, payer restrictions, and potential access barriers; initiate and track PA submissions ...

Hopedale MC

Prior Authorization Specialist

Hopedale, IL · On-site

$18 - $23/hr

Prior Authorization Specialist, Full-time $18-$23/hour HMC Offers: * Tuition Reimbursement ... Above average ability to analyze and solve problems. * Skill in the use of personal computers and ...

Brown University Health

Prior Authorization Coord

Boston, MA · On-site

$19.03 - $31.39/hr

... and prior authorization processes for outpatient radiological services within Brown University ... Analytical skills to evaluate effectiveness of work flow with the ability to make recommendations ...

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Senior Prior Authorization Analyst information

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$48.5K

$102.5K

$130.5K

How much do senior prior authorization analyst jobs pay per year?

As of Jun 10, 2026, the average yearly pay for senior prior authorization analyst in the United States is $102,527.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,000.00 and $116,500.00 per year, depending on experience, location, and employer.

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

To thrive as a Senior Prior Authorization Analyst, you need a comprehensive understanding of healthcare policies, insurance guidelines, and medical terminology, typically backed by relevant experience or a degree in healthcare administration or a related field. Familiarity with prior authorization software, claims management systems, and electronic health records (EHRs) is essential, along with certifications such as Certified Professional Coder (CPC) being advantageous. Strong analytical skills, attention to detail, and effective communication are vital soft skills for collaborating with providers and payers. These competencies ensure accurate and efficient authorization processing, reduce claim denials, and support seamless patient care delivery.

What does a Senior Prior Authorization Analyst do?

A Senior Prior Authorization Analyst is responsible for reviewing and processing requests for medical procedures, medications, or services to ensure they meet insurance or regulatory requirements before approval. They evaluate clinical documentation, communicate with healthcare providers, and ensure compliance with policies and guidelines. Additionally, they may provide training, resolve complex cases, and help develop procedures to improve efficiency and accuracy in the prior authorization process.

What is the difference between Senior Prior Authorization Analyst vs Prior Authorization Coordinator?

AspectSenior Prior Authorization AnalystPrior Authorization Coordinator
CredentialsTypically requires relevant healthcare certifications and experienceOften requires similar certifications but may have less experience requirement
Work EnvironmentPerforms analysis, reviews, and decision-making in healthcare settingsHandles administrative tasks, patient communication, and documentation
Employer & Industry UsageUsed in hospitals, insurance companies, and healthcare providersCommon in clinics, outpatient facilities, and insurance offices

The Senior Prior Authorization Analyst and Prior Authorization Coordinator roles share overlapping credentials and work environments but differ mainly in responsibilities. The analyst focuses on review and decision-making, while the coordinator handles administrative tasks. Both roles are essential in healthcare authorization processes, with the analyst typically requiring more experience and analytical skills.

What are some common challenges faced by Senior Prior Authorization Analysts, and how can they be managed effectively?

Senior Prior Authorization Analysts often encounter challenges such as navigating complex insurance guidelines, managing high volumes of authorization requests, and ensuring timely communication between providers, payers, and patients. Staying organized and up to date with policy changes is essential, as is leveraging workflow tools and collaborating closely with clinical and administrative teams. Proactively addressing issues and maintaining clear documentation can help streamline processes and minimize delays.
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Senior Prior Authorization Analyst jobs near you
Infographic showing various Senior Prior Authorization Analyst job openings in the United States as of June 2026, with employment types broken down into 97% Full Time, 1% Part Time, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $102,527 per year, or $49.3 per hour.
Sr Prior Authorization Spclst

Sr Prior Authorization Spclst

Children's Minnesota

Minneapolis, MN • On-site, Remote

$18.75 - $25/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 20 days ago

Children's Minnesota rating

8.1

Company rating: 8.1 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

70th of 870 rated healthcare providers

Job description

About Children's Minnesota
Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org.
Children's Minnesota is proud to be recognized by Modern Healthcare as one of 2023's Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry.
Position Summary
The Sr Prior Authorization Specialist promotes an excellent patient experience by ensuring authorizations are in place for services performed at Children's Minnesota prior to their admission to our facilities to secure payment and reduce the out of pocket costs to our patients and families. 
This position is responsible for all duties associated with prior authorizations including reviewing insurance benefits, understanding third party requirements, securing authorizations for services, appealing pre-service authorization denials, and appealing authorization related claim denials. 
Location (e.g. remote or on-site): Remote /Hybrid
DHS Background Study Required? No

License/Certification/Registration required? No
Education:
*High School Diploma or GED
*Post-secondary education in a related field preferred.
Experience:
*Three years' experience in a healthcare or related field.
*Preferred experience: Three years' experience in medical billing/prior authorization/insurance.
Knowledge/Skills/Abilities:
*Knowledge in governmental and commercial payors, medical billing requirements, and prior authorizations.
*Demonstrated knowledge of Prior Authorization operations and medical office and/or hospital procedures.
*Ability to interpret and cascade payor requirements as they relate to insurance prior authorizations.
*Ability to effectively work in both a team environment and independently.
*Ability to establish and maintain effective working relationships with providers, patients, families, and employees.
*Ability to effectively work in a remote environment and connect via multiple communication channels (phone, email, text, etc.).
*Knowledge of how prior authorization functions impact billing, clinical teams, the quality of care and the patient experience.
*Ability to meet and exceed departmental quality, production and prior authorization standards.
*Ability to review and resolve denials pertaining to Prior Authorizations.
*Ability to suggest workflows that improve efficiency and experience.
*Ability to mentor and motivate a remote team that delivers exceptional customer service via multiple communication channels (phone, email, text, etc.).
*Skill in Microsoft Office.
*Skill in written and oral communication.
Physical Demands
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The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. Annual salaries displayed are based on full-time employment (40 standard hrs per week). Annual salaries for part-time positions will be prorated based on the employee's scheduled weekly hours in relation to the full-time standard. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs.
In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay.
All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification.
Children's Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

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About Children's Minnesota

Sourced by ZipRecruiter

Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Minneapolis, MN, US

Year founded

1924

Social media

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