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Senior Prior Authorization Analyst Jobs (NOW HIRING)

Brown University Health

Prior Authorization Coord

$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 ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Strong analytical and problem-solving abilities * Excellent organizational skills and attention to ...

BCforward

Prior Authorization

Raleigh, NC · On-site

$17.50 - $23.25/hr

Provide functional and/or technical expertise to plan, analyze, define and support the delivery of future functional and technical capabilities for an application or group of applications. Assist in ...

Brownhealth

Prior Authorization Coord

Boston, MA · On-site

$19.03 - $31.39/hr

... obtaining prior authorization as necessary. Analyzes orders, authorizations and records ... Analytical skills to evaluate effectiveness of work flowwith the ability to make recommendations ...

Regal Medical Group, Inc.

$30 - $32/hr

Maintain quality monitors as assigned by Sr Manager. * Maintain quality monitors as assigned by ... Experience with prior authorization process required. * Proficient in MS Office programs (i.e ...

Arizona Priority Care

Prior Authorization Rep

Chandler, AZ · Hybrid

$20 - $23/hr

... Senior and Medicaid populations, through advanced value-based models. Our provider network is ... The Prior Authorization Representative I is responsible for processing incoming requests including ...

3Y

Prior Authorization Lead

New York, NY · On-site

$100K - $140K/yr

About the Role We are seeking a Prior Authorizations Lead to design, manage, and scale 3Y Health ... Analytical and systems-oriented thinker with a track record of driving measurable improvements in ...

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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.
More about Senior Prior Authorization Analyst jobs
What cities are hiring for Senior Prior Authorization Analyst jobs? Cities with the most Senior Prior Authorization Analyst job openings:
What are the most commonly searched types of Prior Authorization Analyst jobs? The most popular types of Prior Authorization Analyst jobs are:
What states have the most Senior Prior Authorization Analyst jobs? States with the most job openings for Senior Prior Authorization Analyst jobs include:
What job categories do people searching Senior Prior Authorization Analyst jobs look for? The top searched job categories for Senior Prior Authorization Analyst jobs are:
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.

Prior Authorization Coord

Brown University Health

Remote

$19.03 - $31.39/hr

Full-time

Posted 7 days ago

Brown University Health rating

6.8

Company rating: 6.8 out of 10

Based on 70 frontline employees who took The Breakroom Quiz

485th of 870 rated healthcare providers

Job description

SUMMARY:
Under supervision of the Manager Diagnostic Imaging Support
Services is responsible for the integrity of the pre-registration and prior
authorization processes for outpatient radiological services within
Brown University Health. Coordinates and arranges for
all outpatient radiology orders to ensure patients have received financial
clearance from insurance companies and troubleshoot as needed.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES:
PRINCIPAL DUTIES AND RESPONSIBILITIES:Registers patients prior to scheduled appointments to obtain
updated account information for accurate insurance billing. Confirms patient eligibility with insurance carriers/third
party payors and obtains pre-authorization requirements in accordance with
established medical policies.Coordinates and ensures appropriate insurance authorizations
are obtained and/or received in a timely manner.Reviews, recognizes and understands clinical documentation
from patient records pertinent to obtaining prior authorization as necessary. Analyzes orders, authorizations and records for
discrepancies that may affect insurance coverage and/or denial of claims.Notifies and coordinates with ordering physicians and
providers when peer-to-peer discussions are required to obtain prior
authorization of services being denied by patients' insurance.Professionally communicates with various Brown University Health personnel
to resolve billing issues, authorization denials and financial clearance of
patient appointments.Provides mature, quality customer service to patients, their
families and/or their representatives.Ensures all patients are financially cleared by insurance/
third party payor prior to their scheduled appointments.
Performs other duties as assigned.
MINIMUM QUALIFICATIONS:
BASIC KNOWLEDGE:High school diploma or equivalent required. Knowledge of
business systems, office procedures, computer skills, medical terminology and
health insurance processes/terminology including, but not limited to, CPT and
ICD-10 coding.Strong organizational skills, critical thinking and focus to
detail required to manage high volume of radiologic orders requiring prior
authorization and/or financial clearance.Analytical skills to evaluate effectiveness of work flow
with the ability to make recommendations, develop and adapt to changes as
necessary.Interpersonal skills necessary to provide effective
communication with patients and other healthcare professionals within and
outside of Brown University Health. EXPERIENCE:Two years of previous experience in health care environment
with emphasis in health insurance billing and reimbursement, healthcare
operations, database management and patient/ provider interaction. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Normal office environment; may experience some visual
fatigue as result of extended periods of work on the computer.INDEPENDENT ACTION:Performs independently within the department's policies and
practices. Refers specific complex
problems to the supervisor when clarification of the departmental policies and
procedures are required.SUPERVISORY RESPONSIBILITY:None.
Pay Range:
$19.03-$31.39
EEO Statement:
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Location:
Remote-Massachusetts - N/A Boston, Massachusetts 02108
Work Type:
M-F 9:30am -6:00pm occassional weekends
Work Shift:
Day
Daily Hours:
8 hours
Driving Required:
No

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