Prior Authorization Coordinator Jobs
Prior Authorization Coordinator jobs are open across health systems, insurance companies, specialty clinics, and physician groups, at every level from entry-level to senior, with specializations in oncology, behavioral health, and specialty pharmacy. Find a role that fits below and apply directly.
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POSITION SUMMARY
The Prior Authorization & Forms Specialist handles pre-certification, authorizations and coordination among patients, third party payers and the practice, including routine and medical office visits, lab work, diagnostic testing, procedures and surgeries. This position will be responsible for monthly invoicing reconciliation with Billing and Finance. This position will work with all the medical departments.
This is a hybrid position and will require weekly in-office days at our Carbondale Practice.
REPORTING RELATIONSHIPS
The position reports to the Practice Manager. No positions report to this role.
ESSENTIAL JOB DUTIES AND FUNCTIONS
While living and demonstrating our Core Values, the Prior Authorization & Forms Specialist will:
Prior Authorization:
- Receive prior auth request from physician or pharmacy.
- Submit all info via navinet insurance website.
- Verify diagnosis code via medication screen or chart notes
- Research alternatives that patient has tried and list them on prior auth
- Use chart notes to answer questions that are prompted via the insurance company
- Verify that all information is accurate
- Submit prior auth request
- Input info into Medication Prior Auth Flowsheet in medent and add to to-do to keep track of auth.
- If prior auth is approved notify Dr/nurse and send approval notice to pharmacy
- If medication is for prolia, add to-do for six months from approval date to submit new prior auth
- If prior auth is denied reach out to Dr. to see if they want to switch medication, or if they want to appeal denial.
- If Dr. wants to appeal, research what info the insurance is requesting and send prior auth form and any necessary documents to insurance for appeal.
- Update insurance companies as necessary.
Forms:
- Ensure all home health forms are signed by Physician and sent back to appropriate area
- FMLA forms processing
- Follow all rules of forms policy
- Process school, college & medical forms that are non-nurse required
- Parking placards
- Ensure all forms meet The Wright Center policy requirements
- Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
- Buy in and experience working in the EOS® model (strongly preferred)
- Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
- High school diploma or equivalent
- Previous front-office experience (2-4 years) in a high-volume medical practice desirable
- Previous experience with insurance preferred
- Experience with MEDENT or other EMR software a plus
- Knowledge of medical terminology and insurances
- Proficiency in Word, Excel, PowerPoint and E-mail
- Must be reliable and punctual
- Must have attention to detail
- Must be able to perform effectively in a fast-paced environment with many changing priorities
- Must be professional and customer service oriented to deliver quality excellent care
- Ability to work independently and with a team
- Professional written and verbal communication and interpersonal skills
- Willingness to work a flexible schedule
Notice of AI Use in Job Application Review
As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.AI may be used to identify patterns, highlight relevant skills, and experience, and assist in comparing a candidate’s qualifications with the requirement of a specific role. These tools are to improve efficiency and consistency while supporting more informed hiring decisions, which will ultimately be made by the hiring team.
POSITION SUMMARY
The Prior Authorization & Forms Specialist handles pre-certification, authorizations and coordination among patients, third party payers and the practice, including routine and medical office visits, lab work, diagnostic testing, procedures and surgeries. This position will be responsible for monthly invoicing reconciliation with Billing and Finance. This position will work with all the medical departments.
This is a hybrid position and will require weekly in-office days at our Carbondale Practice.
REPORTING RELATIONSHIPS
The position reports to the Practice Manager. No positions report to this role.
ESSENTIAL JOB DUTIES AND FUNCTIONS
While living and demonstrating our Core Values, the Prior Authorization & Forms Specialist will:
Prior Authorization:
- Receive prior auth request from physician or pharmacy.
- Submit all info via navinet insurance website.
- Verify diagnosis code via medication screen or chart notes
- Research alternatives that patient has tried and list them on prior auth
- Use chart notes to answer questions that are prompted via the insurance company
- Verify that all information is accurate
- Submit prior auth request
- Input info into Medication Prior Auth Flowsheet in medent and add to to-do to keep track of auth.
- If prior auth is approved notify Dr/nurse and send approval notice to pharmacy
- If medication is for prolia, add to-do for six months from approval date to submit new prior auth
- If prior auth is denied reach out to Dr. to see if they want to switch medication, or if they want to appeal denial.
- If Dr. wants to appeal, research what info the insurance is requesting and send prior auth form and any necessary documents to insurance for appeal.
- Update insurance companies as necessary.
Forms:
- Ensure all home health forms are signed by Physician and sent back to appropriate area
- FMLA forms processing
- Follow all rules of forms policy
- Process school, college & medical forms that are non-nurse required
- Parking placards
- Ensure all forms meet The Wright Center policy requirements
- Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
- Buy in and experience working in the EOS® model (strongly preferred)
- Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
- High school diploma or equivalent
- Previous front-office experience (2-4 years) in a high-volume medical practice desirable
- Previous experience with insurance preferred
- Experience with MEDENT or other EMR software a plus
- Knowledge of medical terminology and insurances
- Proficiency in Word, Excel, PowerPoint and E-mail
- Must be reliable and punctual
- Must have attention to detail
- Must be able to perform effectively in a fast-paced environment with many changing priorities
- Must be professional and customer service oriented to deliver quality excellent care
- Ability to work independently and with a team
- Professional written and verbal communication and interpersonal skills
- Willingness to work a flexible schedule
Notice of AI Use in Job Application Review
As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.AI may be used to identify patterns, highlight relevant skills, and experience, and assist in comparing a candidate’s qualifications with the requirement of a specific role. These tools are to improve efficiency and consistency while supporting more informed hiring decisions, which will ultimately be made by the hiring team.
Prior Authorization Coordinator Jobs by Experience Level
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Find JobsPrior Authorization Coordinator Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Education
What Employers Look For
The qualifications that appear most often in prior authorization coordinator jobs.
- 1-3 years of prior authorization or insurance verification experience in a clinical setting
- Working knowledge of ICD-10, CPT, and HCPCS coding for authorization requests
- Experience with electronic health record systems such as Epic, Cerner, or Athenahealth
- Familiarity with Medicare, Medicaid, and commercial insurance authorization processes
- Strong written and verbal communication skills for payer and provider correspondence
- Medical assistant, certified medical administrative assistant, or equivalent credential preferred
Tips for Your Prior Authorization Coordinator Job Search
Tailor your resume to payer language
List the specific payers you've worked with, such as Medicare Advantage, Medicaid managed care, or commercial plans. Hiring managers scan for payer familiarity fast, and a generic resume that omits this loses ground to candidates who name them directly.
Highlight ICD-10 and CPT coding experience
Many prior authorization coordinator postings screen for working knowledge of diagnostic and procedure codes. If you've handled coding-related denials or appeals, call that out explicitly rather than burying it under a general 'clinical support' bullet.
Apply early to roles that fit
Migrate Mate lists prior authorization coordinator openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by clinical specialty, not just title
A prior authorization coordinator role in oncology requires very different payer criteria knowledge than one in orthopedics or behavioral health. Search by specialty area so your application lands with teams whose authorization workflows match your actual experience.
Prepare concrete denial appeal examples for interviews
Interviewers for this role almost always ask how you handle denials or peer-to-peer reviews. Walk in with two or three specific scenarios, the payer involved, the reason for denial, and the outcome you achieved. Vague answers about 'following up' won't stand out.
Negotiate start date around credentialing timelines
If you're moving from one health system to another, ask whether the new employer needs you credentialed in their EHR or payer portals before day one. Getting that answer early lets you set a realistic start date and signals that you understand the operational side of the role.
Prior Authorization Coordinator Jobs: Frequently Asked Questions
Which companies are hiring the most prior authorization coordinators?
assist point, NYX Health, and Shields Health Solutions are hiring the most prior authorization coordinators right now, with openings concentrated in New York, Texas, and Arizona, based on current listings on Migrate Mate as of November 2026. Large health systems and specialty pharmacy benefit managers tend to post the highest volume of openings.
How many prior authorization coordinator jobs are remote?
About 57% of prior authorization coordinator openings are fully remote or hybrid as of November 2026, reflecting strong demand for phone- and portal-based authorization work that does not require an on-site clinical presence. Roles focused on specialty pharmacy and insurance-side authorization tend to be the most remote-friendly.
How do you become a prior authorization coordinator?
Start by completing a medical administrative, healthcare management, or clinical support program at a community college or vocational school. Build hands-on experience in a front-office, billing, or insurance verification role at a clinic or health system. Learn the authorization workflows for at least one major payer category, develop fluency in an EHR platform, and study ICD-10 and CPT coding basics. A certified medical administrative assistant credential can strengthen your application significantly.
Can I get a prior authorization coordinator job with little or no experience?
Yes, entry-level prior authorization coordinator roles exist, particularly at large health systems and specialty clinics that provide structured training. Employers hiring with no experience typically look for a healthcare administration certificate, some familiarity with medical terminology, and demonstrated comfort using computer-based workflows. Starting in a medical receptionist, patient registration, or insurance verification role first gives you practical exposure to payer processes that makes you a competitive applicant.
What does the prior authorization coordinator interview process look like?
Most interviews include an initial phone screen with a recruiter, followed by one or two video or in-person rounds with the hiring manager and sometimes a clinical or billing team lead. Expect scenario-based questions about how you handle payer denials, urgent authorization requests, and documentation gaps. Some employers give a short written or scenario exercise to test familiarity with authorization criteria or coding. The full process typically moves quickly because these roles are operationally critical.
Where can I find and apply to prior authorization coordinator jobs?
You can find and apply to prior authorization coordinator jobs on Migrate Mate, which lists current openings from across the United States. Find roles that match your experience, specialty area, and preferred work setting, then apply directly to each listing.
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