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Best prior authorization representative certifications

The best certifications for a prior authorization representative are Medical Assistant, Certified Billing and Coding Specialist (CBCS), and Certified Medical Administrative Assistant (CMAA).

Prior authorization representative certifications demonstrate your competency as a prior authorization representative to employers. However, not all prior authorization representative certifications provide the same value.

Below is a list of the best prior authorization representative certifications. Obtaining a prior authorization representative certification will give you a leg up when you apply for jobs and increase your potential salary.

3 best certifications for prior authorization representatives

RankPrior authorization representative certificationOrganization
1Medical AssistantASPT
2Certified Billing and Coding Specialist (CBCS)NHA
3Certified Medical Administrative Assistant (CMAA)NHA

3 best prior authorization representative certifications

1. Medical Assistant

The medical assistant job description varies depending on the employer's needs. A medical assistant is a multi-skilled professional and an asset to a physician.

Certification details
  • More than two years of education or training after high school required? No
  • More than two years of work experience required? No
  • Oral or written exam required? Yes
  • Renewal required? Every 1 year(s)
Certifying organization
American Society of Phlebotomy...

2. Certified Billing and Coding Specialist (CBCS)

A Certified Billing and Coding Specialist (CBCS) primarily focuses on converting a medical procedure, diagnosis, or symptom into specific codes to submit a claim for reimbursement.

Certification details
  • More than two years of education or training after high school required? Yes
  • More than two years of work experience required? Yes
  • Oral or written exam required? Yes
  • Renewal required? Every 2 year(s)

3. Certified Medical Administrative Assistant (CMAA)

A Certified Medical Administrative Assistant (CMAA) performs routine administrative and clinical tasks to keep the offices and clinics of physicians running smoothly.

Certification details
  • More than two years of education or training after high school required? Yes
  • More than two years of work experience required? Yes
  • Oral or written exam required? Yes
  • Renewal required? Every 2 year(s)

What is the best certification for a prior authorization representative?

The best prior authorization representative certification is Medical Assistant. The Medical Assistant is awarded by the American Society of Phlebotomy Technicians. This certification is great to have as it shows an improvement in your competency to perform your role. You can earn this certification at the beginning of your career, as it often doesn't require a minimum education level and work experience.

Here's a bit more background on how to obtain this prior authorization representative certification:

  • To become a certified Medical Assistant, you need to pass the exam.
  • Lucky you - certification doesn't require more than two years of work experience.
  • Renew certification every 1 year.

What are some of the most in-demand certifications for prior authorization representatives?

The most in-demand prior authorization representative certification is Medical Assistant based on all active job postings. Having this prior authorization representative certification will give you access to more prior authorization representative jobs with higher salaries.

Best certifications

The most common combination of prior authorization representative certifications include: Medical Assistant, Certified Billing and Coding Specialist (CBCS), and Certified Medical Administrative Assistant (CMAA).

Online courses for prior authorization representatives to earn certifications

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