ZipRecruiter

Log In

1

Insurance Authorization Specialist Jobs (NOW HIRING)

BlueSprig

Insurance Authorization Specialist

$20 - $22/hr

Insurance Authorization Specialist (Remote) Location: Remote Schedule: Monday-Friday, 8:00 AM-5:00 PM (Candidate's Local Time) Pay: $20.00-$22.00/hour based on experience About the Role BlueSprig is ...

New

VSI

Insurance Authorization Specialist

Reston, VA · On-site

$19 - $25.25/hr

C. metropolitan area, is seeking an Insurance Authorization Specialist to join our team. This role is responsible for obtaining prior authorization for various medical procedures, services, and ...

VSI

Insurance Authorization Specialist

Reston, VA · On-site

C. metropolitan area, is seeking an Insurance Authorization Specialist to join our team. This role is responsible for obtaining prior authorization for various medical procedures, services, and ...

BlueSprig

Insurance Authorization Specialist

$20 - $22/hr

Insurance Authorization Specialist (Remote) Location: Remote Schedule: Monday-Friday, 8:00 AM-5:00 PM (Candidate's Local Time) Pay: $20.00-$22.00/hour based on experience About the Role BlueSprig is ...

New

ThedaCare

Insurance Authorization Specialist

Appleton, WI · On-site

$17.50 - $23.50/hr

The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance information. Works with ...

ThedaCare

Insurance Authorization Specialist

Appleton, WI · On-site

$17.25 - $22.75/hr

The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance information. Works with ...

ThedaCare

Insurance Authorization Specialist

Neenah, WI · On-site

$18.50 - $24.75/hr

Access & Affordability The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance ...

next page

Showing results 1-20

All JobsInsurance Authorization Specialist Jobs

Insurance Authorization Specialist information

See salary details

$27K

$57.4K

$97.5K

How much do insurance authorization specialist jobs pay per year?

As of Aug 7, 2026, the average yearly pay for insurance authorization specialist in the United States is $57,372.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,500.00 and $74,000.00 per year, depending on experience, location, and employer.

How to become an insurance authorization specialist?

To become an insurance authorization specialist, individuals typically need a high school diploma or equivalent and should develop knowledge of insurance policies, medical billing, and coding. Relevant skills include attention to detail, communication, and familiarity with insurance claim processing software. Certification in medical billing or coding can enhance job prospects and demonstrate expertise in the field.

What are the key skills and qualifications needed to thrive as an insurance authorization specialist?

To thrive as an Insurance Authorization Specialist, you need a thorough understanding of insurance policies, medical terminology, and authorization procedures, often supported by a high school diploma or associate degree in a related field. Familiarity with electronic health record (EHR) systems, insurance portals, and claims management software is typically required. Strong attention to detail, organizational skills, and effective communication abilities help you navigate complex authorizations and interact with healthcare providers and insurers. These competencies ensure accurate processing, minimize claim denials, and support efficient patient care workflows.

What is the difference between Insurance Authorization Specialist vs Insurance Claims Processor?

AspectInsurance Authorization SpecialistInsurance Claims Processor
Primary RoleSecures prior authorizations for treatments and servicesProcesses and reviews insurance claims for payment
CredentialsKnowledge of insurance policies, certifications varyKnowledge of claims processing, certifications vary
Work EnvironmentHealthcare settings, insurance companiesHealthcare providers, insurance companies
Common TasksObtaining authorizations, verifying coverageSubmitting claims, reviewing denials

While both roles involve insurance processes, the Insurance Authorization Specialist focuses on obtaining approvals before services, whereas the Insurance Claims Processor handles the claims after services are rendered. Both roles require knowledge of insurance policies and work within healthcare or insurance environments, but their specific tasks differ significantly.

What does an insurance authorization specialist do?

An Insurance Authorization Specialist is responsible for verifying patients' insurance coverage and obtaining pre-authorizations or approvals required for medical procedures and services. They communicate with insurance companies to ensure that all treatments and medications are covered under a patient's policy. Their role helps prevent claim denials and ensures that healthcare providers receive payment for services rendered. Additionally, they may assist patients in understanding their benefits and resolving insurance-related issues.

What skills do you need to be an insurance authorization specialist?

An insurance authorization specialist needs strong communication, attention to detail, and knowledge of insurance policies and billing procedures. Proficiency with electronic health record (EHR) systems and insurance claim software is also important. Good organizational skills and the ability to handle multiple tasks efficiently are essential for success in this role.

What are some common challenges insurance authorization specialists face when processing prior authorizations, and how can they be managed effectively?

Insurance Authorization Specialists frequently encounter challenges such as navigating complex payer requirements, handling incomplete or delayed documentation from providers, and managing tight turnaround times. Staying organized, maintaining up-to-date knowledge of insurers' policies, and building strong communication channels with both medical staff and insurance representatives can help address these challenges. Proactive follow-up and attention to detail are essential for minimizing delays and ensuring timely patient care.
More about Insurance Authorization Specialist jobs
What cities are hiring for Insurance Authorization Specialist jobs? Cities with the most Insurance Authorization Specialist job openings:
What are the most commonly searched types of Insurance Authorization Specialist jobs? The most popular types of Insurance Authorization Specialist jobs are:
What states have the most Insurance Authorization Specialist jobs? States with the most job openings for Insurance Authorization Specialist jobs include:
What job categories do people searching Insurance Authorization Specialist jobs look for? The top searched job categories for Insurance Authorization Specialist jobs are:
Insurance Authorization Specialist jobs near you
Infographic showing various Insurance Authorization Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $57,372 per year, or $27.6 per hour.

Insurance Authorization Specialist

Plano Orthopedic and Sports Medicine Center

Plano, TX • On-site

$17.25 - $23/hr

Other

Re-posted 16 days ago

Job description

Insurance Authorization Specialist

We believe in the power of kindness, the importance of teamwork, and the value of each patient's journey. At Plano Orthopedic & Sports Medicine Center, we pride ourselves on our 45+ years of service to the community, delivering exceptional healthcare with a personal touch. Our culture is built on the core values of integrity, respect, compassion, service, a positive attitude, and teamwork. Here, you'll find more than a job, you'll find a supportive environment where your contributions truly matter. If you thrive in a dynamic, patient-centered environment and take pride in delivering exceptional service, this is the organization for you!

We are seeking an Insurance Authorization Specialist to join our team. The ideal candidate will play a part of the patient's experience and assist in facilitating when the physician determines that the patient is a candidate for surgery. The Authorization Specialist works with the scheduling coordinators and insurance carriers to obtain authorization, coordinate peer-to-peer calls, generate and collect surgery estimates, plus any additional steps needed for their procedure.

What you'll do

  • Manage and maintain accurate medical records in compliance with HIPAA regulations.
  • Perform insurance verification to ensure coverage and eligibility for services provided.
  • Collaborate with managed care organizations to facilitate patient care and streamline processes.
  • Verify insurance coverage and precertification for patient appointments including copay, deductible, and co-insurance
  • Determine patient fee responsibility electronically and/or by phone
  • Update insurance information for existing patients
  • Communicate effectively with patients, providers, and insurance companies regarding medical terminology and procedures.
  • Maintain organized office operations to support the overall efficiency of the medical practice.
  • Navigate insurance carrier portals
  • Outbound pre-certification calls
  • Detail and ability to multi-task
  • Maintain the daily worklist through applicable applications
  • Maintain the daily surgery denial worklist

Qualifications

  • Knowledge of HIPAA regulations and commitment to patient confidentiality.
  • Experience with insurance verification processes and managed care systems.
  • Familiarity with medical terminology and record management systems.
  • Strong organizational skills with attention to detail in a fast-paced environment.
  • Excellent communication skills, both written and verbal, to interact effectively with patients and healthcare professionals.
  • Previous experience in a medical office or related field is a plus but not required.

Join us in making a difference in patient care through your expertise as a Specialist!

Apply