Prior Authorization
$16.75 - $22.50/hr
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates. * Track and update prior authorization requests ...
$16.75 - $22.50/hr
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates. * Track and update prior authorization requests ...
$16.75 - $22.50/hr
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates. * Track and update prior authorization requests ...
$16.75 - $22.25/hr
Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... We specialize in connecting companies with world-class freelance professionals and delivering top ...
$16.75 - $22.25/hr
Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... We specialize in connecting companies with world-class freelance professionals and delivering top ...
Coordinate prior authorization requests with insurance companies. * Use internal technology, reports and spreadsheets to determine if prior authorizations are necessary. * Request prior ...
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Coordinate prior authorization requests with insurance companies. * Use internal technology, reports and spreadsheets to determine if prior authorizations are necessary. * Request prior ...
Kew Gardens, NY · On-site
$22 - $26/hr
... companies via phone, - ability to communicate professionally and efficiently on the phone and in person. Health benefits and above market rates are offered for the right candidate(s)
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Kew Gardens, NY · On-site
$22 - $26/hr
... companies via phone, - ability to communicate professionally and efficiently on the phone and in person. Health benefits and above market rates are offered for the right candidate(s)
Phoenix, AZ · On-site
$20 - $25/hr
Description: Summary: The Prior Authorization Specialist will handle all aspects of prior ... Submit requests to insurance companies and follow up until completion. * Follow payer guidelines ...
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Phoenix, AZ · On-site
$20 - $25/hr
Description: Summary: The Prior Authorization Specialist will handle all aspects of prior ... Submit requests to insurance companies and follow up until completion. * Follow payer guidelines ...
Salina, KS · On-site
$17 - $22.75/hr
Position Summary: * The Prior Authorization Specialist is responsible for obtaining prior ... authorizations by coordinating with insurance companies, providers, and clinical staff. The ...
Salina, KS · On-site
$17 - $22.75/hr
Position Summary: * The Prior Authorization Specialist is responsible for obtaining prior ... authorizations by coordinating with insurance companies, providers, and clinical staff. The ...
$17 - $22.75/hr
Position Summary: * The Prior Authorization Specialist is responsible for obtaining prior ... authorizations by coordinating with insurance companies, providers, and clinical staff. The ...
$17 - $22.75/hr
Position Summary: * The Prior Authorization Specialist is responsible for obtaining prior ... authorizations by coordinating with insurance companies, providers, and clinical staff. The ...
Kew Gardens, NY · On-site
$22 - $26/hr
... is seeking a Prior Authorization Specialist that meets the following requirements: - proven ... directly from insurance companies via phone, - ability to communicate professionally and ...
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Kew Gardens, NY · On-site
$22 - $26/hr
... is seeking a Prior Authorization Specialist that meets the following requirements: - proven ... directly from insurance companies via phone, - ability to communicate professionally and ...
Brea, CA · On-site
$23 - $27/hr
Document all interactions with insurance companies or other stakeholders within the company system * Document all prior authorization information, including approval dates, billing units, procedure ...
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Brea, CA · On-site
$23 - $27/hr
Document all interactions with insurance companies or other stakeholders within the company system * Document all prior authorization information, including approval dates, billing units, procedure ...
Salina, KS · On-site
$17 - $22.75/hr
Position Summary: * The Prior Authorization Specialist is responsible for obtaining prior ... authorizations by coordinating with insurance companies, providers, and clinical staff. The ...
Salina, KS · On-site
$17 - $22.75/hr
Position Summary: * The Prior Authorization Specialist is responsible for obtaining prior ... authorizations by coordinating with insurance companies, providers, and clinical staff. The ...
Auburn, NY · On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Review and submit required forms, records, and supporting documents to insurance companies. * Track ...
Auburn, NY · On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Review and submit required forms, records, and supporting documents to insurance companies. * Track ...
Kew Gardens, NY · On-site
$22 - $26/hr
... companies via phone, - ability to communicate professionally and efficiently on the phone and in person. Health benefits and above market rates are offered for the right candidate(s)
Quick apply
Kew Gardens, NY · On-site
$22 - $26/hr
... companies via phone, - ability to communicate professionally and efficiently on the phone and in person. Health benefits and above market rates are offered for the right candidate(s)
Chicago, IL · On-site
$15 - $18/hr
... outside facilities, insurance companies and specialty pharmacies. Willingness to maintain ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
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Chicago, IL · On-site
$15 - $18/hr
... outside facilities, insurance companies and specialty pharmacies. Willingness to maintain ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Hilo, HI · On-site
$20.86 - $28.21/hr
... Prior Authorization Specialist to join our Clinical Pharmacy team ... In this vital role, you will work closely with pharmacists, providers, insurance companies ...
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Hilo, HI · On-site
$20.86 - $28.21/hr
... Prior Authorization Specialist to join our Clinical Pharmacy team ... In this vital role, you will work closely with pharmacists, providers, insurance companies ...
$16 - $20/hr
Affinity Health Center is seeking a dedicated Prior Authorization Specialist to join our dynamic ... companies, and clinical staff Manage competing priorities with excellent time management and ...
$16 - $20/hr
Affinity Health Center is seeking a dedicated Prior Authorization Specialist to join our dynamic ... companies, and clinical staff Manage competing priorities with excellent time management and ...
$22 - $30/hr
Call insurance companies to verify coverage (PPO and HMO), obtain benefit details, and confirm authorization requirements. * Submit, track, and manage prior authorizations in a timely manner ...
$22 - $30/hr
Call insurance companies to verify coverage (PPO and HMO), obtain benefit details, and confirm authorization requirements. * Submit, track, and manage prior authorizations in a timely manner ...
Chicago, IL · On-site
$15 - $18/hr
... outside facilities, insurance companies and specialty pharmacies. Willingness to maintain ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Quick apply
Chicago, IL · On-site
$15 - $18/hr
... outside facilities, insurance companies and specialty pharmacies. Willingness to maintain ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Salina, KS · On-site
$17 - $22.75/hr
Position Summary: * The Prior Authorization Specialist is responsible for obtaining prior ... authorizations by coordinating with insurance companies, providers, and clinical staff. The ...
Salina, KS · On-site
$17 - $22.75/hr
Position Summary: * The Prior Authorization Specialist is responsible for obtaining prior ... authorizations by coordinating with insurance companies, providers, and clinical staff. The ...
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 ... Communicate with practices, vendors, insurance companies, patients, and management to secure ...
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 ... Communicate with practices, vendors, insurance companies, patients, and management to secure ...
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Review and submit required forms, records, and supporting documents to insurance companies. * Track ...
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Review and submit required forms, records, and supporting documents to insurance companies. * Track ...
$13.70 - $15.38
6% of jobs
$15.38 - $17.07
14% of jobs
$17.49 is the 25th percentile. Wages below this are outliers.
$17.07 - $18.75
20% of jobs
The median wage is $19.69 / hr.
$18.75 - $20.43
18% of jobs
$20.43 - $22.12
16% of jobs
$22.31 is the 75th percentile. Wages above this are outliers.
$22.12 - $23.80
12% of jobs
$23.80 - $25.48
7% of jobs
$25.48 - $27.16
5% of jobs
$27.16 - $28.85
2% of jobs
$28.85 - $30.53
0% of jobs
$30.53 - $32.21
0% of jobs
$13
$20
$32
| Aspect | Top Prior Authorization Companies | Medical Billing Specialists |
|---|---|---|
| Credentials | Varies; often includes healthcare administration or insurance certifications | Medical billing or coding certifications, such as CPC or CCS |
| Work Environment | Corporate offices, healthcare facilities, remote teams | Medical offices, clinics, healthcare facilities |
| Industry Usage | Insurance companies, healthcare providers, third-party administrators | Hospitals, clinics, healthcare practices |
| Primary Focus | Securing prior authorizations for procedures and treatments | Processing medical claims, coding, and billing |
While Top Prior Authorization Companies focus on obtaining approvals for medical procedures, Medical Billing Specialists handle claims processing and coding. Both roles are essential in healthcare revenue cycle management but differ in responsibilities and work settings.

$16.75 - $22.50/hr
Other
Re-posted 12 days ago
General Summary
The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment.Â
Key ResponsibilitiesÂ
Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.Â
Review patient charts to obtain relevant clinical documentation needed to support authorization requestsÂ
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.Â
Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.Â
Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary. Â
Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.Â
Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements.Â
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 45 pounds.
Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests.Â
Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.Â
Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.Â
Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.Â
Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.Â
HS Diploma or GEDÂ required.Â
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Outpatient health care
51 - 200 Employees
Birmingham, AL, US
1940