Explore jobs
Find specific jobs
Explore careers
Explore professions
Best companies
Explore companies
Best prior authorization specialist certifications
Prior authorization specialist certifications allow job seekers to demonstrate their competency as an prior authorization specialist to employers. However, not all prior authorization specialist certifications provide the same value for job seekers.
The best certifications for a prior authorization specialist are Certified Pharmacy Technician (CPhT), Medical Assistant, and Certified Billing and Coding Specialist (CBCS).
Below is a list of the best prior authorization specialist certifications. Obtaining an prior authorization specialist certification will give you a leg up when you apply for jobs and increase your potential salary.
9 best certifications for prior authorization specialists
| Rank | Prior authorization specialist certification | Organization |
|---|---|---|
| 1 | Certified Pharmacy Technician (CPhT) | PTCB |
| 2 | Medical Assistant | ASPT |
| 3 | Certified Billing and Coding Specialist (CBCS) | NHA |
| 4 | Certified Medical Administrative Assistant (CMAA) | NHA |
| 5 | Certified Specialty Pharmacist (CSP) | SPCB |
| 6 | Certified Medical Office Manager (CMOM) | PMI |
| 7 | Pharmacy Technician | NCCT |
| 8 | Certified Coding Specialist (CCS) | AHIMA |
| 9 | HIPAA Professional (HIPAAP) | HIAA |
9 best prior authorization specialist certifications
1. Certified Pharmacy Technician (CPhT)
PTCB's pharmacy technician certification program enables technicians to work more effectively with pharmacists to offer safe and effective patient care and service. Certification is achieved by meeting specific eligibility requirements and earning a passing score on the Pharmacy Technician Certification Exam (PTCE). The PTCB certification program is accredited by the National Commission for Certifying Agencies (NCCA).
- 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 2 year(s)
2. 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.
- 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)
3. 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.
- 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)
4. 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.
- 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)
5. Certified Specialty Pharmacist (CSP)
By passing the CSP assessment, pharmacy professionals not only display their aptitude in each specialized task, but also present their expertise in specialty pharmacy with a CSP credential. The CSP credential is a key indicator to employers, manufacturers, patients, payers, other healthcare providers, and the public at large that a professional is an expert in specialty pharmaceuticals. CSP certified professionals are tested using a psychometrically sound examination process, utilizing an exam that has been validated with a role delineation study performed by specialty pharmacy subject matter experts (SMEs) from all Specialty Pharmacy channels.
- 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)
6. Certified Medical Office Manager (CMOM)
Experienced medical office professionals with exceptional administrative skills are eligible to sit for the Certified Medical Office Manager (CMOM) exam. To attain CMOM certification, all candidates must demonstrate a high level of knowledge in financial management, managed care contracting, personnel, and time management. Risk management, medical record keeping and facility management issues should also be mastered.
- 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?
7. Pharmacy Technician
The responsibilities of Pharmacy Technicians will vary for each employer, but may include (1) entering medication orders; (2) ordering and recieving stock; (3) packaging medications; (4) compounding ointments or creams; (5) auditing stock; and/or (6) assisting a pharmacist in filling or labeling. Pharmacy Technicians work under the supervision of a licensed Pharmacist, and responsibilities may differ as state laws allow.
- 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)
8. Certified Coding Specialist (CCS)
Coding accuracy is highly important to healthcare organizations, and has an impact on revenues and describing health outcomes. In fact, certification has become an implicit industry standard. Accordingly, the CCS credential demonstrates a practitioner's tested data quality and integrity skills, and mastery of coding proficiency. Professionals experienced in coding inpatient and outpatient records should consider obtaining this certification.
- 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 3 year(s)
9. HIPAA Professional (HIPAAP)
The Center's HIPAAP designation imparts the knowledge you'll need to attain the goal of becoming a HIPAA privacy officer-focusing in on the administrative simplification provisions, particularly the policies and procedures that providers and organizations need in place to comply with privacy and security standards. This program will provide you with a solid grounding in HIPAA terminology, as well as the implications of HIPAA for the insurance industry.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required? Every 2 year(s)
What is the best certification for a prior authorization specialist?
The best prior authorization specialist certification is Certified Pharmacy Technician (CPhT). The Certified Pharmacy Technician (CPhT) is awarded by the Pharmacy Technician Certification Board. 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 specialist certification:
- To become a certified Certified Pharmacy Technician (CPhT), you need to pass the exam.
- Lucky you - certification doesn't require more than two years of work experience.
- Renew certification every 2 year.
What are some of the most in-demand certifications for prior authorization specialists?
The most in-demand prior authorization specialist certification is Certified Pharmacy Technician based on all active job postings. Having this prior authorization specialist certification will give you access to more prior authorization specialist jobs with higher salaries.
What certifications can impact a prior authorization specialist career and salary?
The Certified Pharmacy Technician certification will help you to secure a pharmacist technician position, which will increase your pay and career trajectory. A pharmacist technician's average salary is $34,419 whereas prior authorization specialists make an average salary of $36,120.
The most common combination of prior authorization specialist certifications include: Certified Pharmacy Technician (CPhT), Medical Assistant, and Certified Billing and Coding Specialist (CBCS).
Online courses for prior authorization specialists to earn certifications
1. Operations and Patient Safety for Healthcare IT Staff
Now that you've been introduced to the world of Health IT and the important role played by electronic health records (EHRs), we'll focus on other technologies that play a role in maintaining ongoing operations in healthcare. Telemedicine, patient portals, barcode scanners, printers, and medical devices are just some of the technologies that impact providers and patients. As an IT support specialist, you’ll be asked to troubleshoot issues with a wide variety of tools. You'll see a scenario with...
2. Health After Cancer: Cancer Survivorship for Primary Care
This course presents basic principles of cancer survivorship to primary-care physicians. Developed by a team of experts in caring for cancer survivors, and narrated by a primary-care physician, this course provides practical tips and tools that can be easily integrated into medical practice. You will learn about the complex physical and psychosocial needs and concerns of the growing number of cancer survivors, along with the key role that primary care physicians have in guiding these patients...
3. Data Science for Healthcare Claims Data
Learn and practice how to transform raw healthcare claims data into valuable knowledge and actionable insights!...
4. Top Drugs 1 - Medications you NEED to Know - Pharmacy
Part 1: Blood Pressure, Diabetes, Cholesterol, and OTC: Cough, Cold, Allergy - Condition Overview and Common Medications...
5. Addiction Treatment: Clinical Skills for Healthcare Providers
This course is designed with a singular goal: to improve the care you provide to your patients with substance use disorders. By delving into a model case performed by actors, seven Yale instructors from various fields provide techniques to screen your patients for substance use disorder risk, diagnose patients to gauge the severity of their use, directly manage treatment plans, refer out to treatment services, and navigate the various conditions that may limit your patient’s access to treatment...
6. Value-Based Care: Managing Processes to Improve Outcomes
COURSE 3 of 7. This course is designed to introduce you to critical office-based processes that a value-based practice must manage in the drive towards improved patient outcomes. In Module 2, we’ll focus on office-based and clinical patient-based supporting functions. At every level in healthcare, guidelines, processes, and functions exist to improve outcomes, and following a consistent process will return the best effect. Refine your understanding of value and learn strategies to provide real...
7. Certified Electronic Health Records Specialist
Health Information Technology HIT...
8. ICD 10 & 11 Medical Coding and Billing
Preparation for Medical Coding Certification Exam...
9. Health Care Delivery in Healthcare Organizations
Have you ever needed health care and thought that there must be better ways to get or deliver health care? For example, have you found yourself thinking that there should be a way to get a diagnostic test or treatment at home? Or do you work in a healthcare organization and find yourself thinking that there must be better ways to deliver health care? If you have, this course is for you. Course content includes an overview of health care delivery including healthcare consumerism, the patient's...
10. The Critical Role of IT Support Staff in Healthcare
This is a very exciting time to be exploring a career in Health IT Support! In this introductory course, you’ll learn about various roles in IT support that are common in healthcare. IT support staff play critical roles in many different healthcare venues. In addition to helping clinics, hospitals, and emergency rooms, you may end up providing support in a skilled nursing facility, ambulatory surgical center, virtual care setting, or even a patient’s home! On any given day, you may interact...
11. Medical Coding: ICD-10-CM Diagnosis Code Training
Learn medical coding and prepare yourself for today's healthcare workplace...
12. Health Data 101
An Introduction to Health Data for data analysts...
13. Prehospital care of acute stroke and patient selection for endovascular treatment using the RACE scale
Acute stroke is a time-dependent medical emergency. In acute ischemic stroke, the first objective is to restore brain flow using sistemic thrombolytic treatment and, in patients with large vessel occlusion, by endovascular treatment. In hemorrhagic stroke there are also specific treatments that can improve the clinical outcome. The sooner the initiation of all these therapies the higher the clinical benefit. Thus, the organization of Stroke Code systems coordinated between emergency medical...
14. COVID-19 Training for Healthcare Workers
COVID-19 is rapidly spreading across the globe and all providers must be prepared to recognize, stabilize and treat patients with novel coronavirus infection. Following completion of this short course physicians, nurses, and other healthcare professionals will have a unified, evidenced-based approach to saving the lives of patients with COVID-19, including those who are critically ill. Learning modules are broken into short videos presented in a richly illustrated and compelling manner. The...
15. Understanding HIPAA for the Medical Office
A healthcare professional's guide to understanding the requirements HIPAA...
16. Understanding Medications and Therapeutics
Helping you build the best foundation to truly understand medications and develop clinical reasoning skills...
17. Healthcare Data Literacy
This course will help lay the foundation of your healthcare data journey and provide you with knowledge and skills necessary to work in the healthcare industry as a data scientist. Healthcare is unique because it is associated with continually evolving and complex processes associated with health management and medical care. We'll learn about the many facets to consider in healthcare and determine the value and growing need for data analysts in healthcare. We'll learn about the Triple Aim and...
18. Drug Commercialization
The University of California San Diego, Skaggs School of Pharmacy and Pharmaceutical Sciences Drug Commercialization course brings you lectures from both faculty and industry experts. With this course, recorded on campus at UCSD, we seek to share our access to top people in the field who bring an unprecedented range of expertise on drug commercialization. This course will cover pharmacoeconomic, marketing strategy, intellectual property strategy, portfolio management, managed markets and...
19. Medical Terminology 101
For those in healthcare, billing, and more. Boost earning ability and marketable skills by learning to speak medicine...
20. Health for All Through Primary Health Care
This course explores why primary health care is central for achieving Health for All. It provides examples of how primary health care has been instrumental in approaching this goal in selected populations and how the principles of primary health care can guide future policies and actions. Two of the most inspiring, least understood, and most often derided terms in global health discourse are “Health for All” and “Primary Health Care.” In this course, we will explore these terms in the context...