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Insurance Prior Authorization Jobs in Maryland (NOW HIRING)

Chevy Chase Foot & Ankle LLC

Be Seen First

Front Desk

Silver Spring, MD · On-site

$17/hr

Experience with insurance prior authorization is a plus. * Excellent communication and problem-solving skills. * Reliable transportation. * A training period is provided. Compensation: $17/hour to ...

TidalHealth

Authorization Specialist

Berlin, MD · On-site

$22.14 - $34.32/hr

Authorization Specialist Position Summary The Authorization Specialist is responsible and accountable for monitoring and submitting all insurance authorizations including but not limited to; prior ...

Actalent

Remote Certified Pharmacy Technician

Ocean City, MD · On-site

$16.75 - $20.50/hr

Job Title: Remote Pharmacy Technician - Prior Authorization Review This remote Pharmacy Technician role focuses on reviewing pharmacy prior authorization requests for a large health insurance ...

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Insurance Prior Authorization information

See Maryland salary details

$24.7K

$63.7K

$81K

How much do insurance prior authorization jobs pay per year?

As of Aug 29, 2026, the average yearly pay for insurance prior authorization in Maryland is $63,717.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,200.00 and $74,700.00 per year, depending on experience, location, and employer.

What is insurance prior authorization?

Insurance prior authorization is a process where healthcare providers must obtain approval from a patient's insurance company before performing certain medical procedures, prescribing medications, or providing specific services. This ensures that the recommended treatment is covered under the patient's insurance plan and is deemed medically necessary. The process may involve submitting clinical information and waiting for a decision from the insurance provider. Prior authorization is intended to control costs and ensure appropriate care, but it can sometimes delay access to treatment.

What are the key skills and qualifications needed to thrive in insurance prior authorization?

To thrive in Insurance Prior Authorization, you need a solid understanding of medical terminology, insurance policies, and healthcare regulations, often supported by experience in a healthcare or insurance setting. Familiarity with electronic health record (EHR) systems, insurance portals, and authorization management software is typically required. Attention to detail, strong organizational skills, and effective communication are critical soft skills for managing complex cases and coordinating with providers and payers. These competencies ensure timely approvals, reduce claim denials, and improve patient access to necessary medical treatments.

What are some common challenges faced in an insurance prior authorization role, and how can they be effectively managed?

One of the main challenges in Insurance Prior Authorization is navigating the varying requirements and documentation standards of different insurance providers. This often requires staying updated on policy changes and maintaining close attention to detail to prevent delays or denials. Effective communication with healthcare providers and insurance representatives is also essential, as misunderstandings or incomplete information can slow down the process. Building strong organizational skills and using robust tracking systems can help manage workloads and ensure timely approvals, ultimately supporting patient care.

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

AspectInsurance Prior AuthorizationInsurance Claims Specialist
Required CredentialsKnowledge of insurance policies, healthcare regulationsUnderstanding of claims processing, coding, documentation
Work EnvironmentHealthcare providers, insurance companies, hospitalsInsurance companies, healthcare organizations, billing departments
Employer & Industry UsageUsed to approve coverage before services are renderedHandles post-service claims, reimbursement processing
Search & Comparison IntentUnderstanding pre-authorization processClaims processing and reimbursement procedures

Insurance Prior Authorization involves obtaining approval from insurance companies before healthcare services are provided, ensuring coverage. In contrast, Insurance Claims Specialists process claims after services are rendered to secure payment. Both roles require knowledge of insurance policies but focus on different stages of the insurance process.

Are insurance prior authorization jobs in high demand?

Insurance prior authorization jobs are in steady demand due to the ongoing need for healthcare cost management and insurance processing. These roles often require strong organizational skills and familiarity with insurance policies and medical billing systems, making them a stable career option in the healthcare administration field.

How to become an insurance prior authorization specialist?

To become an insurance prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance billing. Relevant skills include knowledge of insurance policies, medical terminology, and proficiency with electronic health record (EHR) systems; certifications such as the Certified Professional Coder (CPC) can enhance job prospects.

Is insurance prior authorization a stressful job?

Insurance prior authorization is often considered a stressful job due to the need for accuracy, attention to detail, and managing multiple cases under tight deadlines. Employees frequently handle complex documentation and communicate with healthcare providers and insurance companies, which can contribute to work-related stress. Strong organizational skills and familiarity with insurance policies can help mitigate some of these challenges.
Insurance Prior Authorization jobs near you
Infographic showing various Insurance Prior Authorization job openings in Maryland as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $63,717 per year, or $30.6 per hour.

Lead Benefits and Authorization Specialist (Chesapeake Specialty Care)

University of Maryland Faculty Physicians

Annapolis, MD • On-site

$44K - $66K/yr

Full-time

Medical

Posted 9 days ago

Job description

The Lead Benefits and Authorization Specialist serves as the department subject matter expert and team lead for insurance verification and prior authorization functions. This position is responsible for overseeing daily authorization and benefits workflows, ensuring accuracy and timeliness of work completed by team members, and serving as a resource for complex payer requirements and authorization issues. The Lead Benefits and Authorization Specialist works closely with Scheduling, Clinical Operations, Surgical Coordinators, Billing, and Revenue Cycle Leadership to improve authorization accuracy, reduce denials, and support revenue cycle performance. The Lead maintains individual productivity while providing guidance, training, quality review, and workflow oversight for the Benefits and Authorization team.

Essential Functions

  • Serve as the primary resource for Benefits and Authorization Specialists and provide day-to-day guidance and support.
  • Assist with onboarding and training of new team members.
  • Monitor departmental work queues to ensure insurance verification and authorization requests are completed timely.
  • Review work for accuracy and provide coaching opportunities as needed.
  • Escalate payer issues, authorization delays, and workflow concerns to the RCM Director.
  • Assist with development and maintenance of departmental policies and procedures.
  • Promote collaboration between Revenue Cycle, Clinical Operations, Scheduling, Surgery Scheduling, and other departments.
  • Verify patient insurance eligibility and benefits for scheduled appointments and procedures.
  • Confirm coverage details including deductibles, co-pays, coinsurance, and out-of-pocket maximums.

Education and/or experience

  • High school diploma or equivalent required; Associate's degree preferred.
  • Minimum 4-5 years of experience in medical billing, benefits verification, or authorization management.
  • Minimum 1-2 years of healthcare leadership, lead, mentoring, or supervisory experience preferred.
  • Strong knowledge of medical insurance plans including commercial, Medicare, Medicaid, and Tricare.
  • Advanced understanding of prior authorization requirements and payer policies.
  • Familiarity with medical terminology and CPT/ICD-10 codes.
  • Experience with practice management systems and EHR platforms.
  • Strong knowledge of medical coding, third-party payer processes, and revenue cycle operations.
  • Excellent communication and customer service skills.
  • Proficiency with Microsoft Office applications, including Word and Excel.
  • Strong written and verbal communication skills.
  • Excellent organizational, analytical, and problem-solving abilities.
  • Ability to manage multiple priorities while maintaining a high level of accuracy.
  • Demonstrated ability to work collaboratively and effectively with multidisciplinary teams.
  • Must be responsible, reliable, and able to independently carry out job functions.

Total Rewards
The referenced base salary range represents the low and high end of Chesapeake Specialty Care salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. 

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About University of Maryland Faculty Physicians

Sourced by ZipRecruiter

University of Maryland Faculty Physicians, Inc. is made up of more than 1,000 faculty members from the University of Maryland School of Medicine. Our providers conduct cutting-edge research and clinical trials, and offer care in more than 40 medical specialties. With offices located all across Maryland, as well as access to services from one of the nation's leading academic medical centers, patients can receive the highest-quality care and latest treatment options available, right in their neighborhood.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Baltimore, MD, US

Year founded

1983

Social media

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