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Hire a Prior Authorization Specialist.

Prior authorisations submitted and followed up.

Also called: Pre-Certification Specialist, Authorisation Coordinator

From AUD $4.50 an hourAUD $4.50-22.50/hr

  • Healthcare
Book a demoTalk now on Teams

A free 15-minute call on Teams.

  • Works your hours
  • Philippines hub, 2 to 3 hours behind Sydney
  • Month to month
What your Prior Authorization Specialist gets doneSample day
  • Monitors new orders and referrals in the EHR work queueIntake and determination
  • Gathers supporting clinicalsSubmission
  • Tracks pending requests every dayFollow-up and escalation
  • Keeps schedulers and patients updatedCommunication and recordsDoing
In your tools
  • Slack / Microsoft Teams

Pick the level. See the price.

AUD $9an hourFull time, 38 hours a week, all-in

Level 2 of 4, also called mid-level.Recommended
A local mid-level adminAUD $31.11/hr
A tested Intermediate Prior Authorization SpecialistAUD $9/hr
60-75% lessBasis: a Seat's hourly price against the hourly wage of a comparable local hire at the same level. Super and on-costs would add to the local cost.Local pay at the same level, before super and leave.

Owns the auth queue for a practice or specialty end-to-end.

  • Approved auths loaded into the PM system before the date of service
  • RAI responses inside payer deadlines
  • Weekly turnaround and approval-rate report

1-3 years of prior authorisation for a specialty practice.

How the Intermediate level works

Per hour, all-in: recruiting, testing and management. Prices exclude GST.

What you hand to your Prior Authorization Specialist

Tasks

  • Intake and determination

    • Monitors new orders and referrals in the EHR work queue
    • Checks each payer's auth requirement
    • Identifies who actually reviews the request

  • Submission

    • Gathers supporting clinicals
    • Builds and submits requests through CoverMyMeds, Availity
    • Matches every auth to the correct CPT, units, dates, rendering provider
    • Confirms the standard written order, face-to-face documentation

  • Follow-up and escalation

    • Tracks pending requests every day
    • Books peer-to-peer reviews after denials
    • Writes appeal letters and letters of medical necessity
    • Enrols patients in manufacturer hub, copay card

  • Communication and records

    • Keeps schedulers and patients updated
    • Records auth numbers, approved units and validity dates in the PM system
    • Reports weekly on pending, approved and denied requests

Tested before you meet them

  1. Written English and medical terminology testAll levels30 min
  2. Payer criteria match work sampleAll levels45 min
  3. Portal submission simulationAll levels45 min
  4. Pending queue triage sprintAll levels40 min
  5. Peer-to-peer brief and medical necessity letterExpert and Specialist45 min
  6. Scheduler and patient update role-playAll levels15 min

One score on every profileSample shown

84%

Three checks before your shortlist

  • Skills tested: A skills test for the role, marked by a senior
  • English and comms: written English tested, spoken English checked on a call
  • ID, work history and references: photo ID, past roles and two referees

From booked call to day one

  1. Step 1: Book a demo

    Tell us the role, your hours and your tools.

  2. Step 2: Meet your shortlist

    Their level and hourly price, tested before you meet.

  3. Step 3: Pick your person

    Month to month. We handle the contract, the equipment and the onboarding, and make sure it all runs.

  4. Step 4: They start work

    In your tools, within 12 to 48 hours of a successful interview.

Questions answered

An Intern Prior Authorization Specialist is AUD $4.50 an hour, Intermediate AUD $9, Expert AUD $14 and Specialist AUD $22.50, full time (38 hours a week). That is all-in: recruiting, testing and management, month to month. Prices exclude GST.

Intake and determination, submission, follow-up and escalation and communication and records, run to your priorities. You choose what they own first.

Six practical tests, marked by a senior, including written English and medical terminology test, payer criteria match work sample and portal submission simulation. You see the score before you meet.

Tell us and we replace them free, with a new shortlist of tested people to meet. Seats are month to month with 30 days' notice.

More questions

Within 12 to 48 hours of a successful interview. First you meet your shortlist, interview the people you like and pick your person.

Yes. Your Prior Authorization Specialist works your business hours in your time zone and joins your Teams or Slack like anyone else. The hub matched to Australia & NZ clients is in the Philippines, 2 to 3 hours behind Sydney.

Yes, where it helps. Your Prior Authorization Specialist works in the AI tools you already use. They use AI for first drafts and routine work, check every output, and follow your AI policy. You can ask for no AI on any task.

An Intermediate Prior Authorization Specialist owns the auth queue for a practice or specialty end-to-end. An Expert Prior Authorization Specialist owns authorisation outcomes for complex service lines. We usually recommend Intermediate.

It stays under your rules: your admin settings and AI policy apply. Our talent rules ban client data in personal or free AI accounts, and passwords, card numbers, health details and ID numbers never go into any AI tool.

You direct the work day to day. We handle recruiting, equipment and quality checks.

Yes. Every Prior Authorization Specialist is tested live in the tools on your job description, such as CoverMyMeds and Availity Essentials, before you meet them.

In week one: VDI plus EHR access with referral and auth workqueue permissions; individual accounts on CoverMyMeds, Availity and the relevant payer; and fax line or eFax inbox and softphone set up, plus NPI/TIN. You agree the first priorities with them on day one.

Yes. It's also called Pre-Certification Specialist and Authorisation Coordinator. Same tasks, tests and prices, whatever the name.

Their written English, with a scored test, and their spoken English, on a call with us. We also check their ID, work history and references.

Yes. You meet your shortlist on a short call and pick the person you want. Nobody joins without your yes.

In our talent hubs in the Philippines, Vietnam, Kenya, Nigeria, Brazil and Colombia, and we hire from 60+ countries. Wherever they are, they work your hours.

Pay only for the hours they work. All your Seats are on one bill, and Studio plans are billed monthly.

It can, at most once a year. Your person's hourly rate may rise by up to 5% a year, from the first anniversary of the Seat's start, with 60 days' notice and the right to end the Seat before it applies.

Only when you and your person both agree to it in advance. Otherwise they work the hours you set, and you pay for the hours they log.

You aren't charged for hours your person doesn't work, apart from paid leave. After their third month, your person earns 8 hours of paid leave a month. Paid leave hours are charged at their usual rate.

Your person logs their hours each day in the Get Hands client app, where you can see them. Your next invoice is adjusted to those hours.

Yes, with no minimum hours. From 20 to 37 hours a week, the hourly rate is 10% higher than full-time. Under 20 hours, it's 20% higher.

Yes. Tell us the roles on a call and we shortlist tested people for each.

Yes. You give them access in your own systems, and you can change or remove it at any time.

They get their own login in each of your systems, never a shared one. Any password that has to be shared goes through your own password manager, never email, chat, code or prompts.

A tested shortlist within 72 hours of your call, or your first week is free. That's part of The Right Hands Guarantee.

Yes. Call us on +61 3 4421 6491, or choose Talk now on the booking form for a Microsoft Teams link straight away, any time.

Book a 15-minute demo on Microsoft Teams, any time, day or night. We show you the people, levels and prices that fit. No obligation.

Meet the people who fit your work.

A 15‑minute call on Teams. You leave knowing the level you need and its hourly price.

Book a demoTalk now on Teams

Talk now is live on Teams, any time.