Prior authorization representative vs account management representative

The differences between prior authorization representatives and account management representatives can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a prior authorization representative and an account management representative. Additionally, an account management representative has an average salary of $46,765, which is higher than the $38,726 average annual salary of a prior authorization representative.

The top three skills for a prior authorization representative include patients, customer service and outbound calls. The most important skills for an account management representative are customer service, medical terminology, and data entry.

Prior authorization representative vs account management representative overview

	Prior Authorization Representative	Account Management Representative
Yearly salary	$38,726	$46,765
Hourly rate	$18.62	$22.48
Growth rate	-4%	-4%
Number of jobs	55,498	222,957
Job satisfaction	-	-
Most common degree	High School Diploma, 24%	Bachelor's Degree, 50%
Average age	40	40
Years of experience	4	4

Prior authorization representative vs account management representative salary

Prior authorization representatives and account management representatives have different pay scales, as shown below.

	Prior Authorization Representative	Account Management Representative
Average salary	$38,726	$46,765
Salary range	Between $29,000 And $51,000	Between $27,000 And $78,000
Highest paying City	Attleboro, MA	Boston, MA
Highest paying state	Massachusetts	Massachusetts
Best paying company	NTT Data International L.L.C.	Microsoft
Best paying industry	Health Care	Government

Differences between prior authorization representative and account management representative education

There are a few differences between a prior authorization representative and an account management representative in terms of educational background:

	Prior Authorization Representative	Account Management Representative
Most common degree	High School Diploma, 24%	Bachelor's Degree, 50%
Most common major	Business	Business
Most common college	Howard University	Stanford University

Prior authorization representative vs account management representative demographics

Here are the differences between prior authorization representatives' and account management representatives' demographics:

	Prior Authorization Representative	Account Management Representative
Average age	40	40
Gender ratio	Male, 21.1% Female, 78.9%	Male, 31.7% Female, 68.3%
Race ratio	Black or African American, 9.7% Unknown, 5.2% Hispanic or Latino, 18.0% Asian, 5.8% White, 60.6% American Indian and Alaska Native, 0.7%	Black or African American, 12.0% Unknown, 5.6% Hispanic or Latino, 18.9% Asian, 7.2% White, 55.5% American Indian and Alaska Native, 0.8%
LGBT Percentage	7%	7%

Differences between prior authorization representative and account management representative duties and responsibilities

Prior authorization representative example responsibilities.

Manage inbound/outbound calls for medical personnel and patients, along with computerize data entry to regulate proper distribution of prescription medication.
Utilize knowledge of physician office policies, CPT and ICD-9 coding, procedures, and equipment.
Provide compassion without judgment in regards to patient's finances.
Determine if CPT and ICD-10 codes are correct and qualify for coverage.
Review all daily EDI reports to make sure claims are being accept properly.
Perform chart audits via EMR, prepare medical records for subpoenas, general requests.

Account management representative example responsibilities.

Market managed care plans to clients on Medicaid and public assistance.
Manage Facebook and patient communication programs.
Utilize ICD-9 and ICD-10 codes for the descriptions of veterans.
Research and apply COPT, ICD-9 and HCPC codes as needed.
Update fee schedules and specific CPT codes as needed.
Direct the support of new designs for their logistics aspects.

Prior authorization representative vs account management representative skills

Common prior authorization representative skills

Patients, 26%
Customer Service, 8%
Outbound Calls, 5%
Medical Terminology, 4%
Data Entry, 4%
Insurance Coverage, 4%

Common account management representative skills

Customer Service, 21%
Medical Terminology, 14%
Data Entry, 9%
Patients, 8%
Inpatient Admissions, 7%
Outpatient Services, 6%

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Prior Authorization Representative
Prior Authorization Representative vs Account Management Representative

Updated January 8, 2025

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