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Tricare Prior Authorization Jobs (NOW HIRING)

Trinity Health

Central Pre-Registration Specialist

Minot, ND · On-site

$19.35 - $28.06/hr

... prior authorizations for office visits, diagnostic services, and procedures in accordance with payer guidelines and organizational protocols. * Confirm referral requirements for Medicaid, Tricare, VA ...

New

Pharvaris

... VA/Tricare/IHS. They will be responsible for driving profitable patient access with their ... prior authorization/reauthorization processes, SoC provider relations initiatives and pharmacy ...

KSA Integration

Nurse Case Manager (NCM)

Wilmington, NC · On-site

... TRICARE sanction query, and FBI/state background check required. * U.S. citizenship or authorized work status; ability to obtain CAC (Tier 1 investigation). Preferred Skills/Experience: * Prior ...

KSA Integration

... TRICARE sanction query, and FBI/state background check required. * U.S. citizenship or authorized work status; ability to obtain CAC (Tier 1 investigation). Preferred Skills/Experience: * Prior ...

KSA Integration

Nurse Case Manager (NCM)

Saint Paul, MN · On-site

... TRICARE sanction query, and FBI/state background check required. * U.S. citizenship or authorized work status; ability to obtain CAC (Tier 1 investigation). Preferred Skills/Experience: * Prior ...

KSA Integration

Nurse Case Manager (NCM)

Saint Paul, MN · On-site

... TRICARE sanction query, and FBI/state background check required. * U.S. citizenship or authorized work status; ability to obtain CAC (Tier 1 investigation). Preferred Skills/Experience: * Prior ...

KSA Integration

Nurse Case Manager (NCM)

Wilmington, NC · On-site

... TRICARE sanction query, and FBI/state background check required. * U.S. citizenship or authorized work status; ability to obtain CAC (Tier 1 investigation). Preferred Skills/Experience: * Prior ...

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Tricare Prior Authorization information

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$32

How much do tricare prior authorization jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for tricare prior authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What is Tricare prior authorization?

Tricare prior authorization is a process where your healthcare provider must obtain approval from Tricare before certain services, prescriptions, or procedures are covered. This helps ensure that the requested care is medically necessary and appropriate for your situation. Without prior authorization, Tricare may not cover the cost of the service, leaving you responsible for the bill. It's important to check with your provider and Tricare before receiving any care that might require authorization to avoid unexpected expenses.

What are some common challenges faced in a Tricare prior authorization role, and how can they be managed effectively?

Professionals in a Tricare Prior Authorization role often encounter challenges such as navigating complex insurance guidelines, ensuring timely approval of medical services, and communicating effectively with healthcare providers, patients, and insurers. Managing these challenges involves staying up-to-date with Tricare policies, utilizing strong organizational and problem-solving skills, and maintaining clear, compassionate communication to address any documentation gaps or denials. Collaborating closely with clinical staff and leveraging electronic health record systems can also streamline the authorization process and improve outcomes for both patients and providers.

What are the key skills and qualifications needed to thrive as a Tricare prior authorization specialist, and why are they important?

To thrive as a Tricare Prior Authorization Specialist, you need a strong understanding of healthcare insurance processes, medical terminology, and Tricare guidelines, often supported by experience in medical billing or a related certification. Familiarity with prior authorization software, electronic health records (EHR) systems, and claims processing platforms is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills for coordinating with providers, patients, and insurance representatives. These competencies ensure timely and accurate authorization of services, minimizing delays in patient care and ensuring compliance with Tricare policies.

What is the difference between Tricare Prior Authorization vs Medical Billing Specialist?

AspectTricare Prior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of Tricare policies, healthcare regulationsCertification in medical billing or coding often preferred
Work EnvironmentHealthcare facilities, insurance companies, government agenciesMedical offices, hospitals, billing companies
Industry UsageMilitary healthcare, insurance processingHealthcare revenue cycle management

While Tricare Prior Authorization involves obtaining approval for military healthcare services, Medical Billing Specialists handle billing and coding processes. Both roles require healthcare industry knowledge but focus on different aspects of patient care and administrative tasks.

What other helpful pages are available for Tricare Prior Authorization?

Other pages related to Tricare Prior Authorization:

Infographic showing various Tricare Prior Authorization job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

In-House Psychiatry Medical Biller & Medical Coder

Fredericksburg, VA • On-site

VITAL HEALTH & INTEGRATVE CARE
See more jobs at VITAL HEALTH & INTEGRATVE CAREexternal

$17 - $22/hr

Full-time

Re-posted 14 days ago

Job description

Description:

Vital Health and Integrative Care is seeking an experienced Medical Biller and Medical Coder to join our growing outpatient psychiatry practice. This is an in-office position responsible for managing the complete medical billing cycle, insurance claims, coding accuracy, payment posting, denial management, and insurance follow-up.

The ideal candidate has experience billing for psychiatry and behavioral health services and is knowledgeable in CPT, ICD-10, and payer requirements.

Requirements:
  • Minimum of 2 years of medical billing and coding experience in a physician's office or outpatient setting. 
  • At least 1 year of psychiatry or behavioral health billing experience required. 
  • Knowledge of CPT, ICD-10-CM, and HCPCS coding. 
  • Experience with commercial insurance, Medicare, Medicaid, and Tricare claims. 
  • Proficient in the complete revenue cycle, including charge entry, claims submission, payment posting, denial management, appeals, and accounts receivable follow-up. 
  • Experience verifying insurance eligibility and obtaining prior authorizations when needed. 
  • Familiarity with Tebra (Kareo) or similar electronic health record (EHR) and practice management software preferred. 
  • Strong understanding of HIPAA, payer guidelines, and medical billing compliance. 
  • Excellent attention to detail, organizational skills, and time management. 
  • Strong written and verbal communication skills. 
  • Ability to work independently while collaborating with providers and administrative staff. 
  • High school diploma or equivalent required; associate degree in healthcare administration or related field preferred. 
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB) preferred but not required.