ZipRecruiter

Log In

1

Insurance Prior Authorization Jobs in Virginia (NOW HIRING)

County Med LLC

Certified Medical Assistant

Blackstone, VA · On-site

$17.75 - $23/hr

  • PTO

Experience with insurance prior authorizations and referrals. * Experience performing phlebotomy and administering injections. * Familiarity with quality reporting measures and preventive care ...

County Med LLC

Certified Medical Assistant

Blackstone, VA · On-site

$17.75 - $23/hr

  • PTO

Experience with insurance prior authorizations and referrals. * Experience performing phlebotomy and administering injections. * Familiarity with quality reporting measures and preventive care ...

Summit BHC

Intake RN-PRN

Williamsburg, VA · On-site

$45 - $50/hr

Facilitates intake, admission, and prior authorization process for incoming patients. * Performs insurance benefit verifications, disseminating the information gathered to patients, their families ...

Summit BHC

Intake RN-PRN

Williamsburg, VA · On-site

$45 - $50/hr

Facilitates intake, admission, and prior authorization process for incoming patients. * Performs insurance benefit verifications, disseminating the information gathered to patients, their families ...

MCKESSON

Field Reimbursement Manager

Arlington, VA · On-site +1

Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics. * Must have Medicare and ...

MCKESSON

Field Reimbursement Manager

Fairfax, VA · On-site +1

Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics. * Must have Medicare and ...

previous page

Showing results 41-60

All JobsInsurance Prior Authorization JobsInsurance Prior Authorization Jobs in Virginia

Insurance Prior Authorization information

See Virginia salary details

$25.3K

$65.1K

$82.8K

How much do insurance prior authorization jobs pay per year?

As of Aug 15, 2026, the average yearly pay for insurance prior authorization in Virginia is $65,088.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $76,300.00 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.

What are the most commonly searched types of Insurance Prior Authorization jobs in Virginia?

The most popular types of Insurance Prior Authorization jobs in Virginia are:

Insurance Prior Authorization jobs near you
Infographic showing various Insurance Prior Authorization job openings in Virginia as of August 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 95% In-person, 2% Hybrid, and 3% Remote job distribution, with an average salary of $65,088 per year, or $31.3 per hour.

Patient Service Representative (PSR) - In Motion Physical Therapy - Town Center

Bon Secours

Virginia Beach, VA • On-site

$15.50 - $19.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

Patient Services Representative – In Motion Physical Therapy — Town Center

Patient Services Representative outpatient rehab office staff by researching and verifying patient health insurance eligibility, interpreting insurance benefits for a specific service, and documenting this information into EMR system. Insurance verification specialist identifies when insurance authorization is required, initiates prior authorization request, and submits supporting clinical documentation to obtain approval for services provided by outpatient rehab clinics.

Essential Functions:

  • Research and verify patient health insurance coverage and eligibility. Register patient coverage accurately within EMR to ensure timely billing and reimbursement from payer
  • Obtain and interpret specific program benefits under patient health insurance plan by using online portals or phone calls to payer
  • Concisely and accurately document patient benefit information within EMR system to generate patient estimates. Effectively communicate benefit information to patients, as needed. Answer detailed patient questions regarding out of pocket costs, as indicated under their specific insurance plan
  • Initiate prior authorization requests with insurance payer, submit clinical documentation that supports medical necessity for request and follow up on authorization status prior to patient's first scheduled visit
  • Maintain clear, timely communication with front office staff regarding insurance benefit barriers that may prevent patient conversion, or delay prior authorization approval prior to first patient visit
  • Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
  • Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education:

High School Diploma or GED (required)

Licensure/Certification:

None

Experience:

1 year of experience in insurance verification Comprehensive understanding of insurance eligibility and coverage requirements, contract benefits and medical terminology.

Range:

Minimum: $ 16.76

Maximum: $ 24.65

Bon Secours is an equal opportunity employer.

As a Bon Secours associate, you're part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer:

  • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
  • Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
  • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
  • Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Bon Secours logo

About Bon Secours

Sourced by ZipRecruiter

As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Marriottsville, MD, US

Year founded

1983

View All Bon Secours Jobs

Apply