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Insurance Authorization Jobs (NOW HIRING)

Insurance Authorization Representative Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross ...

Job Summary Responsible for ensuring accurate and timely insurance authorizations for diagnostic imaging as well as surgical and in clinic procedures. Provides expertise in payer guidelines, coding ...

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Insurance Authorization information

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$25.5K

$65.7K

$83.5K

How much do insurance authorization jobs pay per year?

As of Jul 20, 2026, the average yearly pay for insurance authorization in the United States is $65,651.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,000.00 and $77,000.00 per year, depending on experience, location, and employer.

What is the 3 month rule for jobs?

In the context of insurance authorization jobs, the 3 month rule often refers to a policy where certain authorizations or approvals are valid for three months, requiring re-authorization afterward. This rule helps ensure that coverage and approvals are current and accurate, and employees in this role must monitor expiration dates and follow up for renewals or re-approvals as needed.

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 timely patient care and reimbursement.

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.

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.

Is prior authorization a stressful job?

Insurance authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing deadlines. Employees often handle complex documentation and communicate with healthcare providers and insurance companies, which can contribute to workplace pressure. However, stress levels vary depending on the work environment and individual coping skills.

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 degree is not typically required to become a prior authorization specialist, but relevant certifications, healthcare knowledge, and experience with insurance processes are often preferred. Strong communication skills and familiarity with medical billing and coding can improve job prospects. Employers may have varying educational requirements depending on the organization.
More about Insurance Authorization jobs
What cities are hiring for Insurance Authorization jobs? Cities with the most Insurance Authorization job openings:
What are the most commonly searched types of Insurance Authorization jobs? The most popular types of Insurance Authorization jobs are:
What states have the most Insurance Authorization jobs? States with the most job openings for Insurance Authorization jobs include:
Infographic showing various Insurance Authorization job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 88% Full Time, 10% Part Time, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $65,651 per year, or $31.6 per hour.
Insurance Authorization Specialist

Insurance Authorization Specialist

South County Hospital

Wakefield, RI

$20.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago


South County Health rating

6.8

Company rating: 6.8 out of 10

Based on 21 frontline employees who took The Breakroom Quiz


Job description

South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. Accredited by The Joint Commission (TJC), SCH is made up of South County Hospital, South County Home Health, and South County Medical Group.  South County Health has received numerous distinctions for patient care and safety over the years, which have included a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A’s for hospital quality and patient safety by The Leapfrog Group. Having celebrated over 100 years of service to southern Rhode Island, South County Health offers an exceptional opportunity to provide our patients with the best care possible while enjoying a healthy work-life balance. We offer competitive salaries and an attractive benefits package which includes, health, dental, vision, tuition reimbursement, 403b, PTO, and a broad range of career development benefits and opportunities.
 
Job Summary:
 
The Insurance Authorization Specialist assists with components of the revenue cycle, most importantly insurance verifications prior to services performed and claim submission. In addition, the Specialist is responsible for ensuring that South County Hospital has the appropriate insurance Pre-certifications, Pre-authorizations, Insurance Notifications, and Treatment Requests prior to the provision of an exam, procedure, or hospitalization for both inpatient and outpatient services. The Specialist is also accountable for verifying that the pre-certification/pre-authorization matches the services that were actually performed. Additionally, the Specialist is the primary on-site liaison for the ancillary departments to referring providers’ offices, insurance carriers, as well as patients regarding pre-certification/pre-authorization verification. Performs follow up on insurance verifications when unable to obtain it real time or when patients fail to bring their ID card at time of service.
 

Minimum Qualifications:

Minimum three (3) years related experience is required. Proficient in Microsoft Excel and Word and strong typing skills.  Excellent verbal and written communication skills. Strong customer service skills.  Understanding and ability to utilize various electronic, web based, and manual coding resources.    Knowledge of scheduling programs, telephone, and database systems.  Knowledge of medical terminology and third party insurance.  Strong knowledge of insurance verification processes, health care coding systems (procedural, diagnosis, modifier, remittance, and others). 

Pay starting at: $20.25/hour


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