Prior Authorization Specialist Salary Estimate$36, 120 To create our salary estimates, starts with data published in publicly available sources such as the U.S. Bureau of Labor Statistics (BLS), Foreign Labor Certification Data Center (FLC) Show More
The average salary for a prior authorization specialist in the United States is $36, 120. Prior authorization specialist salaries typically range between $27, 000 and $46, 000 a year. The average hourly rate for prior authorization specialists is $17.37 per hour. Location, education, and experience impacts how much a prior authorization specialist can expect to make. Prior authorization specialists make the most in Massachusetts, Maryland, Vermont, Illinois, and New York.
Throughout the U.S., the average salary for a prior authorization specialist is roughly $36, 120 per year, which boils down to $17.37 per hour. Interestingly enough, prior authorization specialists have the highest salaries in Framingham, MA at about $49, 980 per year. For those who are just starting out, the average entry-level salary in Framingham, MA is $37, 000. Additionally, prior authorization specialists make more than the average salary in Elk Grove Village, IL, New York, NY, Duluth, MN, Hartford, CT, and East Orange, NJ. On a more broad level, prior authorization specialist salaries are highest in Massachusetts, Maryland, Vermont, Illinois, New York, Connecticut, and Minnesota. On the contrary, Alabama, Arkansas, and Tennessee offer the lowest prior authorization specialist salaries.
What Is A Prior Authorization Specialist? Prior Authorization Specialist Overview
The salary for a prior authorization specialist can vary depending on the years of experience that a person has, from entry level to senior level. An accountant with 0-2 years of experience earns an average salary of $21, 890, a mid-career professional with 3-6 years of experience makes $36, 120 a year on average, and a senior level accountant with 7-12 years of experience enjoys an average annual salary of $56, 451. Data on how experience level affects total compensation is provided by the Bureau of Labor Statistics (BLS) as part of their National Compensation Survey, which is based on factors such as knowledge, complexity, contacts, and environment.
The highest paying companies for prior authorization specialists are Washington State University and Talyst according to our most recent salary estimates. In addition, companies like Treasure Coast Community Health and Inspire Medical Systems report highly competitive wages for prior authorization specialists.
Prior authorization specialist salaries can vary depending on the industry. In fact, our data shows that the health care, pharmaceutical, and insurance industries tend to offer much higher salaries for prior authorization specialists. For example, prior authorization specialists make a whopping average salary of $34, 460 while working in the health care industry. Meanwhile, other people in this field are making $33, 930 in the pharmaceutical industry and $32, 832 in the insurance industry. Prior authorization specialists may want to avoid working in the technology industry as it offers the lowest average salary of $29, 611.
Role Of Pre Authorization In Medical Billing Services
Massachusetts pays Prior Authorization Specialists the most in the United States, with an average salary of $49, 963 per year, or $24.02 per hour.
You know if you are being paid fairly as a Prior Authorization Specialist if your pay is close to the average pay for the state you live in. For example, if you live in Maryland you should be paid close to $43, 606 per year.Prior authorization specialists are responsible for all processes on prior authorization. They stand as an intermediary between the client, healthcare provider, and the insurance company as they help their client get prior authorization from the insurance company that will be needed for approval of certain healthcare services by the healthcare provider. You are in charge of verifying your client's eligibility and benefits, gathering all information and documents required for processing, completing all processes at the right time, and also keeping a record of the account activities.
You must have customer service skills, time management skills, computer literacy, listening skills, communication skills, problem-solving skills, organization skills, and you must be able to interpret data. You need a bachelor's degree in pharmacy, healthcare administration, or a related field to qualify for this role. As a prior authorization specialist, you will earn an average of $35, 290 per year.
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There are certain skills that many prior authorization specialists have in order to accomplish their responsibilities. By taking a look through resumes, we were able to narrow down the most common skills for a person in this position. We discovered that a lot of resumes listed computer skills, customer-service skills and listening skills.
If you're interested in becoming a prior authorization specialist, one of the first things to consider is how much education you need. We've determined that 32.3% of prior authorization specialists have a bachelor's degree. In terms of higher education levels, we found that 3.1% of prior authorization specialists have master's degrees. Even though some prior authorization specialists have a college degree, it's possible to become one with only a high school degree or GED.
As you move along in your career, you may start taking on more responsibilities or notice that you've taken on a leadership role. Using our career map, a prior authorization specialist can determine their career goals through the career progression. For example, they could start out with a role such as pharmacist, progress to a title such as manager and then eventually end up with the title office manager.
Prior Authorization Services
Prior Authorization Specialists in America make an average salary of $36, 120 per year or $17 per hour. The top 10 percent makes over $46, 000 per year, while the bottom 10 percent under $27, 000 per year.
The role of a prior authorization specialist includes a wide range of responsibilities. These responsibilities can vary based on an individual's specific job, company, or industry.Here are some general prior authorization specialist responsibilities:
Patient Service Representative is a very important position. You're the reason patients can make appointments. Without you, the entire business would fall flat.
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In addition to being an essential part of the company, you're also extremely important to patients. Who else is going to call them to remind them of an appointment that they booked months ago? No one but you. You're some kind of a lifesaver.
It may seem obvious, but a big part of this job is remaining organized. If you can't get your calendar straight, you won't be able to keep track of all your patients. And depending on where you work, there could be hundreds, even thousands, of patients to keep track of.
The first person, an individual, will contact within a hospital facility is a patient access representative. The representative checks patients in and out of the hospital and gathers information for nurses and doctors to use. To be a patient access representative, you need to be a communicator because you will communicate with the patient's caregiver, family and also process their insurance bills. Preparing schedules for PRR's, overseeing the daily operation of the PRR, monitoring PSR registration proficiency and accuracy, and contacting insurance companies for billing operations are all part of your jurisdiction.
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To ensure accessible reports, you must maintain accurate patient information and respond to telephone inquiries. You will also be in charge of collecting balances from patients before their appointment and educating patients on payment and their arrangements. You must ensure that confidential information is reinforced and upheld as required by the clinic.
The representative must understand insurance policies and must be knowledgeable in ICD-10. Communication skills, computer literacy, and customer service skills are all important skill requirements. You also need a bachelor's degree in health care administration or related disciplines to qualify for the role. The annual salary of a patient access representative is $30, 000.
Billing representatives work in various industries, apart from the seemingly obvious banking, insurance, and finance fields. They are employed in other areas as well, such as retail, manufacturing, or healthcare, and are responsible for keeping an eye on credit-based transactions.
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Billing representatives hold onto payment records, follow up on installment plans, and watch out for due dates. They remind customers about overdue payments and resolve their doubts and issues related to payments and transactions. They are the ones who communicate with debtors and charge fees upon missing or late payments, and they submit forms to the authorities. They know their way around contracts and regulations and make sure payment terms and practices are in accordance with these.
Although it might sound fairly complicated at first glance, a billing representative position is an entry-level one and is considered a stepping stone toward working in accounting or other higher-level finance positions. An aptitude for data management and math will, of course, go a long way.
Mouse over a state to see the number of active prior authorization specialist jobs in each state. The darker areas on the map show where prior authorization specialists earn the highest salaries across all 50 states.
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The skills section on your resume can be almost as important as the experience section, so you want it to be an accurate portrayal of what you can do. Luckily, we've found all of the skills you'll need so even if you don't have these skills yet, you know what you need to work on. Out of
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