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Insurance Prior Authorization Jobs in Oregon (NOW HIRING)

RAYUS Radiology

PRN Insurance Specialist

Portland, OR · On-site

Receives pre-authorization from patients and/or insurance companies and documents * Contact patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance ...

UMR

Specialty Pharmacy Liaison | , Oregon

Oregon City, OR · On-site

$17.98 - $32.12/hr

Performing all insurance benefit investigations, prior authorization, claim rejects, overrides, etc. * Working with patients to find financial aid (grants, manufacture programs, discount cards, etc ...

UMR

Specialty Pharmacy Liaison | , Oregon

Portland, OR · On-site

$17.98 - $32.12/hr

Performing all insurance benefit investigations, prior authorization, claim rejects, overrides, etc. * Working with patients to find financial aid (grants, manufacture programs, discount cards, etc ...

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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 Aug 16, 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.

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, communicate with healthcare providers and insurers, and must stay updated on policy changes, which can contribute to job stress.

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.

Are insurance prior authorization jobs in high demand?

Insurance prior authorization jobs are in steady demand due to the ongoing need for healthcare administrative support and insurance processing. These roles often require knowledge of insurance policies and familiarity with healthcare management systems, making them a stable career option in the healthcare industry.

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 knowledge of insurance policies and medical terminology. Relevant skills include attention to detail, communication, and familiarity with insurance claim processing software. Certification programs in medical billing and coding can enhance job prospects.

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.

Insurance Prior Authorization jobs near you
Infographic showing various Insurance Prior Authorization job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, 5% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $69,412 per year, or $33.4 per hour.

PRN Insurance Specialist

RAYUS Radiology

Portland, OR • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

RAYUS Radiology rating

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

157th of 887 rated healthcare providers

Job description


RAYUS now offers DailyPay! Work today, get paid today!

RAYUS Radiology is looking for an Insurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist, you will be responsible for providing expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. Develops and maintains positive relationships with referring physicians and patients.

This is a temporary (PRN) position, working variable shifts as needed.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(65%) Insurance Administration

  • Prioritize workload to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority
  • Determine if patient's insurance is a part of the provider network
  • Make outgoing calls to insurance companies for pre-certification or any authorization
  • Receives pre-authorization from patients and/or insurance companies and documents
  • Contact patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed
  • Accurately enter a variety of information including date schedule requests received, patient name, referring physician and procedures into computer system
  • Maintain positive interactions with referring offices, patients and staff
  • Backup front desk reception and scheduling area as needed

(30%) Price Quotes
  • Complete payor-related information, i.e., payor, payor class, date of appointment
  • Obtain all workers compensation approvals from insurance companies prior to scheduled exam
  • Obtain patient signs and symptoms in order to support medical necessity

(5%) Completes Other Duties and Projects as Assigned

Required:

  • High School Diploma, or equivalent
  • One (1) year of healthcare experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverage
  • Prior experience with managed care and physician office scheduling
  • Microsoft Office Suite Experience
  • Proficient with using computer systems and typing


Preferred:
  • Bilingual

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.

We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.

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