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Insurance Authorization Jobs in Raleigh, NC (NOW HIRING)

Marsh LLC

Client Manager Business Insurance

Raleigh, NC · On-site

Client Manager, Business Insurance Award-winning, inclusive, Top Workplace culture doesn't happen ... Legal work authorization to work in the U.S. on a permanent and ongoing basis without the need for ...

Oliver Wyman

Client Manager Business Insurance

Cary, NC · On-site

Client Manager, Business Insurance Award-winning, inclusive, Top Workplace culture doesn't happen ... Legal work authorization to work in the U.S. on a permanent and ongoing basis without the need for ...

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All JobsInsurance Authorization JobsInsurance Authorization Jobs in Raleigh, NC

Insurance Authorization information

See Raleigh, NC salary details

$24.8K

$63.8K

$81.2K

How much do insurance authorization jobs pay per year?

As of Jun 29, 2026, the average yearly pay for insurance authorization in Raleigh, NC is $63,819.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,300.00 and $74,800.00 per year, depending on experience, location, and employer.

What is the highest paid position in insurance?

In insurance, executive roles such as Chief Underwriting Officer, Chief Claims Officer, or Chief Executive Officer tend to be the highest paid positions, often earning six-figure salaries plus bonuses. These roles require extensive experience, leadership skills, and industry knowledge, and they oversee large teams and strategic decision-making within insurance companies.

What does an insurance authorization specialist do?

An insurance authorization specialist reviews and obtains prior authorization from insurance companies to approve medical procedures, treatments, or services. They communicate with healthcare providers and insurers, ensure documentation is complete, and use billing or authorization software to facilitate approvals, helping to ensure patients receive necessary care without delays.

What is an Insurance Authorization job?

An Insurance Authorization job involves verifying patient insurance coverage and obtaining necessary approvals before medical services are provided. Professionals in this role communicate with insurance companies, healthcare providers, and patients to ensure procedures are covered. They also handle documentation, follow up on pending requests, and assist in resolving authorization issues. Strong attention to detail and knowledge of insurance policies are essential for success in this role.

How to become an insurance authorization specialist?

To become an insurance authorization specialist, candidates typically need a high school diploma or equivalent, along with knowledge of insurance policies and medical billing procedures. Relevant skills include attention to detail, communication, and familiarity with insurance claim software. Certification in medical billing or coding can enhance job prospects and efficiency in the role.

What are the key skills and qualifications needed to thrive in the Insurance Authorization position, and why are they important?

To excel in Insurance Authorization, you generally need knowledge of healthcare insurance procedures, attention to detail, and experience with medical terminology or health administration. Familiarity with insurance verification systems, EHRs, and payer portals is highly valued, and some positions may require certification in medical billing and coding. Strong organizational skills, clear communication, and customer service orientation help set top performers apart. These competencies ensure accurate authorization processes, minimize claim denials, and maintain effective communication among patients, providers, and insurers.

What are the typical challenges faced in an Insurance Authorization role, and how are they addressed?

Working in Insurance Authorization often involves navigating complex insurance policies, staying updated with changing payer requirements, and handling high volumes of patient cases within tight deadlines. Effective team collaboration and strong problem-solving skills are essential to resolve issues such as denied claims or missing documentation. Many employers provide initial and ongoing training, along with access to supervisors or a supportive team, to help address these challenges. By staying organized and proactive in communication, Insurance Authorization professionals can efficiently manage their workload and ensure timely patient care.

Do you need a degree to be a prior authorization specialist?

A prior authorization specialist typically does not need a college degree but should have relevant training, knowledge of insurance policies, and strong communication skills. Many employers prefer candidates with certifications or experience in healthcare administration or insurance processing.
What are the most commonly searched types of Insurance Authorization jobs in Raleigh, NC? The most popular types of Insurance Authorization jobs in Raleigh, NC are:
What are popular job titles related to Insurance Authorization jobs in Raleigh, NC? For Insurance Authorization jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Insurance Authorization jobs in Raleigh, NC look for? The top searched job categories for Insurance Authorization jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Authorization jobs? Cities near Raleigh, NC with the most Insurance Authorization job openings:
Insurance Authorization jobs near you
Infographic showing various Insurance Authorization job openings in Raleigh, NC as of June 2026, with employment types broken down into 6% As Needed, 70% Full Time, 21% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $63,819 per year, or $30.7 per hour.

Patient Benefit Representative/ Reimbursement Specialist

Avcend

Cary, NC • On-site

$24/hr

Contractor

Posted 11 days ago

Job description

  • Locate and enter accurate prescription insurance information into patient profiles by processing eligibility checks and adjudicating pharmacy claims.
  • Adjudicate claims and troubleshoot claim rejections while communicating accurate information to patients.
  • Communicate prior authorization (PA) requirements to providers and support them throughout the PA process.
  • Handle inbound calls from patients, physicians, clinics, practitioners, and clients regarding order status, services, and financial assistance options.
  • Serve as a resource for claim adjudication processes and identify opportunities for improvement.
  • Enter detailed and accurate documentation into patient profiles.
  • Contact patients to schedule medication deliveries and collect payment information.
  • Coordinate patient refills and follow-up activities to support therapy adherence.
  • Identify and report adverse events (AEs) and product complaints (PCs) to appropriate clinical personnel.
  • Perform additional duties as assigned based on program requirements.
Preferred Qualifications:
  • Previous healthcare, pharmacy, insurance verification, or patient support experience.
  • Strong customer service and communication skills.
  • Experience handling insurance claims, benefit investigations, or prior authorizations.
  • Ability to multitask in a fast-paced environment.
  • Strong attention to detail and documentation skills.
  • Proficiency with computer systems and data entry.