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Prior authorization representative salary
Average prior authorization representative salary
$38,726
Understanding the Salary of a Prior Authorization Representative
A Prior Authorization Representative plays a crucial role in the healthcare system by processing requests for medical services and ensuring compliance with insurance policies. The average salary for this position is around $38,726 per year, which translates to approximately $19 per hour. Salaries can vary significantly based on factors such as location, experience, and the specific healthcare setting.
In states like California and New York, representatives can earn more due to higher living costs and demand for healthcare services. For example, representatives in metropolitan areas often see salaries that exceed the national average, making these locations attractive for job seekers. Additionally, those with more experience or specialized training may command higher salaries.
Job Opportunities and Career Growth
As healthcare continues to evolve, the need for Prior Authorization Representatives remains strong. Many healthcare organizations are actively seeking qualified candidates to fill these roles, offering competitive compensation and benefits. Furthermore, the potential for career advancement is significant, with opportunities to move into supervisory or management positions as experience grows.
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Where can a Prior Authorization Representative earn more?
Prior authorization representative salaries by experience level
Average prior authorization representative salary by state
The average prior authorization representative salary in Massachusetts, New Jersey, and New York are the highest in the U.S. The lowest average prior authorization representative salary states are Alabama, Florida, and Tennessee.
- State view
- County view
Highest paying states for prior authorization representatives
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | New Jersey | $53,970 | $25.95 |
| 2 | Massachusetts | $54,696 | $26.30 |
| 3 | New York | $51,826 | $24.92 |
| 4 | Alaska | $48,074 | $23.11 |
| 5 | Pennsylvania | $43,550 | $20.94 |
| 6 | North Dakota | $42,834 | $20.59 |
| 7 | Illinois | $42,740 | $20.55 |
| 8 | Rhode Island | $42,572 | $20.47 |
| 9 | Michigan | $42,336 | $20.35 |
| 10 | South Dakota | $39,922 | $19.19 |
| 11 | West Virginia | $44,369 | $21.33 |
| 12 | Ohio | $41,961 | $20.17 |
| 13 | New Hampshire | $39,294 | $18.89 |
| 14 | Connecticut | $45,229 | $21.74 |
| 15 | Iowa | $41,782 | $20.09 |
| 16 | Vermont | $44,925 | $21.60 |
| 17 | Indiana | $40,455 | $19.45 |
| 18 | Wisconsin | $40,092 | $19.27 |
| 19 | Maryland | $46,689 | $22.45 |
| 20 | District of Columbia | $50,620 | $24.34 |
| 21 | Maine | $37,633 | $18.09 |
| 22 | Missouri | $40,262 | $19.36 |
| 23 | North Carolina | $40,795 | $19.61 |
| 24 | Nevada | $39,698 | $19.09 |
| 25 | Delaware | $42,761 | $20.56 |
| 26 | Oregon | $38,439 | $18.48 |
| 27 | California | $42,726 | $20.54 |
| 28 | Montana | $38,766 | $18.64 |
| 29 | Kansas | $39,757 | $19.11 |
| 30 | Minnesota | $39,345 | $18.92 |
| 31 | Idaho | $38,397 | $18.46 |
| 32 | Mississippi | $40,058 | $19.26 |
| 33 | Virginia | $41,790 | $20.09 |
| 34 | Washington | $37,314 | $17.94 |
| 35 | Wyoming | $38,249 | $18.39 |
| 36 | Nebraska | $38,569 | $18.54 |
| 37 | Colorado | $35,860 | $17.24 |
| 38 | Texas | $34,764 | $16.71 |
| 39 | Arizona | $34,156 | $16.42 |
| 40 | New Mexico | $37,392 | $17.98 |
| 41 | South Carolina | $33,692 | $16.20 |
| 42 | Georgia | $35,031 | $16.84 |
| 43 | Utah | $36,556 | $17.57 |
| 44 | Kentucky | $34,475 | $16.57 |
| 45 | Florida | $31,915 | $15.34 |
| 46 | Hawaii | $36,083 | $17.35 |
| 47 | Louisiana | $29,018 | $13.95 |
| 48 | Tennessee | $31,433 | $15.11 |
| 49 | Oklahoma | $30,077 | $14.46 |
| 50 | Arkansas | $28,334 | $13.62 |
| 51 | Alabama | $33,311 | $16.01 |
Highest paying cities for prior authorization representatives
The highest-paying cities for prior authorization representatives are Attleboro, MA, New York, NY, and Annapolis, MD.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Attleboro, MA | $55,162 | $26.52 |
| 2 | New York, NY | $51,997 | $25.00 |
| 3 | Annapolis, MD | $46,651 | $22.43 |
| 4 | Charleston, WV | $43,485 | $20.91 |
| 5 | Los Angeles, CA | $42,345 | $20.36 |
| 6 | Sioux City, IA | $41,787 | $20.09 |
| 7 | Columbus, OH | $41,600 | $20.00 |
| 8 | Carson City, NV | $40,616 | $19.53 |
| 9 | Indianapolis, IN | $40,305 | $19.38 |
| 10 | Charlotte, NC | $40,107 | $19.28 |
| 11 | Minneapolis, MN | $39,313 | $18.90 |
| 12 | Carbondale, IL | $39,168 | $18.83 |
| 13 | Omaha, NE | $38,733 | $18.62 |
| 14 | Bend, OR | $38,376 | $18.45 |
| 15 | Albuquerque, NM | $37,607 | $18.08 |
| 16 | Salt Lake City, UT | $36,608 | $17.60 |
| 17 | Atlanta, GA | $35,123 | $16.89 |
| 18 | Irving, TX | $35,121 | $16.89 |
| 19 | Phoenix, AZ | $34,284 | $16.48 |
| 20 | Birmingham, AL | $33,363 | $16.04 |
Prior authorization representative salary details
A prior authorization representative's salary ranges from $29,000 a year at the 10th percentile to $51,000 at the 90th percentile.
What is a prior authorization representative's salary?
| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $51,000 | $4,250 | $25 |
| 75th Percentile | $44,000 | $3,667 | $21 |
| Average | $38,726 | $3,227 | $19 |
| 25th Percentile | $33,000 | $2,750 | $16 |
| 10th Percentile | $29,000 | $2,417 | $14 |
Highest paying prior authorization representative jobs
The highest paying types of prior authorization representatives are account management representative, volunteer patient representative, and authorization specialist.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Patient Service Coordinator | $34,754 | $2,896 | $16.71 | 100,708 |
| Patient Care Coordinator | $34,884 | $2,907 | $16.77 | 139,431 |
| Patient Coordinator | $32,954 | $2,746 | $15.84 | 97,878 |
| Patient Care Advocate | $34,043 | $2,837 | $16.37 | 126,400 |
| Patient Liaison | $32,314 | $2,693 | $15.54 | 84,302 |
| Patient Registrar | $33,494 | $2,791 | $16.10 | 86,721 |
Top companies hiring prior authorization representatives now:
Which companies pay prior authorization representatives the most?
Prior authorization representative salaries at NTT Data International L.L.C. And UMass Memorial Health are the highest-paying according to our most recent salary estimates. In addition, the average prior authorization representative salary at companies like Fresenius Medical Care North America Holdings Limited Partnership and University of Rochester are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | NTT Data International L.L.C. | $68,700 | $33.03 |
| 2 | UMass Memorial Health | $47,766 | $22.96 |
| 3 | Fresenius Medical Care North America Holdings Limited Partnership | $45,399 | $21.83 |
| 4 | University of Rochester | $43,664 | $20.99 |
| 5 | University of Iowa Center for Advancement | $42,152 | $20.27 |
| 6 | Midwest Spine & Brain Institute | $41,477 | $19.94 |
| 7 | Sturdy Memorial Hospital | $41,463 | $19.93 |
| 8 | Arkansas Children's Hospital | $40,020 | $19.24 |
| 9 | St. Charles Health System | $39,904 | $19.18 |
| 10 | St. Joseph Mantua | $39,847 | $19.16 |
| 11 | Children's of Alabama | $39,565 | $19.02 |
| 12 | Children's Hospital of Michigan | $38,647 | $18.58 |
| 13 | Sentara Healthcare | $37,961 | $18.25 |
| 14 | Southwest General | $37,645 | $18.10 |
| 15 | CareerBuilder | $37,546 | $18.05 |
| 16 | CVS Health | $37,346 | $17.95 |
| 17 | Ardent Health Services | $37,291 | $17.93 |
| 18 | Alameda Health Consortium | $37,030 | $17.80 |
| 19 | Southern Illinois Healthcare | $36,287 | $17.45 |
| 20 | Randstad North America, Inc. | $36,194 | $17.40 |
Wage gap by gender, race and education
Prior authorization representative salary trends
The average prior authorization representative salary has risen by $5,642 over the last ten years. In 2014, the average prior authorization representative earned $33,084 annually, but today, they earn $38,726 a year. That works out to a 11% change in pay for prior authorization representatives over the last decade.
Compare prior authorization representative salaries for cities or states with the national average over time.
Average prior authorization representative salary over time
Compare prior authorization representative salaries for individual cities or states with the national average.
Prior authorization representative salary by year
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $38,700 | $18.62 | +3.1% |
| 2024 | $37,500 | $18.04 | +2.8% |
| 2023 | $36,500 | $17.54 | +2.5% |
| 2022 | $35,500 | $17.09 | +1.8% |
| 2021 | $34,900 | $16.78 | +1.8% |
Recently added prior authorization representative salaries
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| BJC Healthcare | Prior Authorization RCM | Saint Louis, MO | 06/25/2025 | $32,140 |
| Ellsworth County Medical Center | Financial Counselor/Prior Authorization Representative | Ellsworth, KS | 06/23/2025 | $31,451 |
| A-Line Staffing Solutions | Benefit/Prior Authorization Representative (Remote) | Richardson, TX | 06/19/2025 | $41,740 |
| MFM Health | Prior Authorization Representative | Middleton, MA | 06/19/2025 | $41,740 |
| University of Rochester | Referral & Prior Auth REP III | Rochester, NY | 06/18/2025 | $40,634 |
| Oncology Institute | Prior Authorization Coordinator Chemotherapy | Cerritos, CA | 06/09/2025 | $43,827 |
| The Oncology Institute | Prior Authorization Coordinator Chemotherapy | Cerritos, CA | 05/30/2025 | $43,827 |
| Teksystems | Prior Authorizations Coordinator | Johnston, IA | 05/28/2025 | $39,027 |
| University of Rochester | Referral & Prior Auth REP III | Rochester, NY | 05/22/2025 | $40,634 |
| Medimpact Healthcare Systems | Prior Authorization Coordinator I | Tempe, AZ | 04/28/2025 | $36,787 |
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