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Insurance Prior Authorization Jobs in Oregon (NOW HIRING)

Slocum

Prior Authorization

Eugene, OR · On-site

$18 - $24/hr

* Submits, tracks, and manages prior authorization requests for medical and ancillary procedures ... Interacts with insurance payers, physicians, providers, and Slocum departments to clarify coverage ...

Slocum

RCM Prior Authorization Specialist

Eugene, OR · On-site

$18 - $24/hr

* Submits, tracks, and manages prior authorization requests for medical and ancillary procedures ... Interacts with insurance payers, physicians, providers, and Slocum departments to clarify coverage ...

Baylor Scott & White Health

$17 - $21/hr

Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. * Completes ...

The US Oncology Network

Insurance Reviewer

Eugene, OR

$22 - $32/hr

Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an ... Minimum three (3) years of prior authorization experience required. Revenue cycle experience ...

The US Oncology Network

Insurance Reviewer

Eugene, OR · On-site

$22 - $32/hr

Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an ... Minimum three (3) years of prior authorization experience required. Revenue cycle experience ...

Cascade Health Solutions

Physician

Eugene, OR

... prior authorization for treatment, and answering requests for information from insurance companies. Provide exceptional customer service to departmental patients. Provide support to, and function as ...

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Insurance Prior Authorization information

See Oregon salary details

$27K

$69.4K

$88.3K

How much do insurance prior authorization jobs pay per year?

As of Jun 9, 2026, the average yearly pay for insurance prior authorization in Oregon is $69,412.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $81,400.00 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, and why are they important?

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.

What cities in Oregon are hiring for Insurance Prior Authorization jobs? Cities in Oregon with the most Insurance Prior Authorization job openings:
Insurance Prior Authorization jobs near you
Infographic showing various Insurance Prior Authorization job openings in Oregon as of June 2026, with employment types broken down into 2% As Needed, 75% Full Time, 21% Part Time, 1% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $69,412 per year, or $33.4 per hour.

Prior Authorization

Slocum

Eugene, OR • On-site

$18 - $24/hr

Other

Posted 29 days ago

Job description

  • Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes.
  • Researches and resolves authorization and referral claim denials, while coordinating with physicians, providers, and insurance payers to file appeals or facilitate a P2P.
  • Reviews patient medical records and clinical documentation to ensure they meet payer coverage criteria.
  • Collaborate with the RCM Prior Authorization Supervisor and Team Lead to develop and update authorization policies and procedures.
  • Maintain knowledge of payer guidelines (Medicare, Medicaid, Commercial, etc.) and ensuring regulatory compliance.
  • Partner with the RCM Prior Authorization Supervisor and Team Lead to analyze denied claims resulting from prior authorization and referral errors by identifying the root cause and provide the corrected data to the billing team for the purpose of appealing or resubmitting a corrected claim.
  • Interacts with insurance payers, physicians, providers, and Slocum departments to clarify coverage requirements to expedite approvals.
  • Work in collaboration with the RCM Prior Authorization Supervisor and Team Lead to monitor prior authorization related utilization trends, claim denials, denial rates, and provide performance improvement suggestions to senior leadership.
  • Communicate cross-functionally with providers and other Slocum departments regarding patient questions or referral and authorization concerns.
  • Perform other duties as assigned.

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