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Insurance Prior Authorization Jobs in Remote, OR

Customer Care Specialist

Roseburg, OR · On-site

$17.25 - $22.75/hr

... Insurance and carrier according to guidelines or contract * Verifies payer (with matrix), obtains authorization, expiration date * Verifies patient demographics and prior equipment usage with patient

Comprehensive health insurance and life insurance with accidental death and dismemberment benefits ... You will not be required to repay any prior distributions, and you may continue receiving ...

Controls Engineer II

OR · Hybrid

$78K - $101K/yr

This role will test code functionality prior to deployment, troubleshoot on-site, and collaborate ... You will have access to medical, dental, and vision insurance plans with FSA or HSA options, and a ...

Controls Engineer II

OR · On-site +1

$78K - $101K/yr

This role will test code functionality prior to deployment, troubleshoot on-site, and collaborate ... You will have access to medical, dental, and vision insurance plans with FSA or HSA options, and a ...

Project Engineer II

OR · On-site

$72K - $98K/yr

You will have access to medical, dental, and vision insurance plans with FSA or HSA options, and a ... Prior to the next step in the recruiting process, we welcome you to inform us confidentially if you ...

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Showing results 1-20

Insurance Prior Authorization information

See Remote, OR salary details

$25.5K

$65.6K

$83.4K

How much do insurance prior authorization jobs pay per year?

As of Jul 15, 2026, the average yearly pay for insurance prior authorization in Remote, OR is $65,587.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,900.00 and $76,900.00 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 prior authorization a stressful job?

Insurance prior authorization is often considered a stressful role due to the need for accuracy, meeting strict deadlines, and handling complex cases. The job requires strong attention to detail, communication skills, and familiarity with insurance policies and medical documentation, which can contribute to work-related stress.

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.

How much do precertification specialists make?

Precertification specialists typically earn between $35,000 and $55,000 annually, depending on experience, location, and employer. They often require knowledge of insurance policies and may use claims processing software as part of their role.

What jobs pay 4000 a week without a degree?

Insurance prior authorization specialists typically do not earn $4,000 weekly without relevant experience or certifications. High-paying roles that can reach this level often include sales positions, real estate brokers, or skilled trades like certain construction or electrical work, which may require licenses but not necessarily a college degree. These jobs often demand strong skills, experience, or licensing rather than formal education.

How to become a prior authorization specialist?

To become a 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 electronic health record (EHR) systems. Certification in medical billing or 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.

Infographic showing various Insurance Prior Authorization job openings in Remote, OR 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 $65,587 per year, or $31.5 per hour.
Customer Care Specialist

Customer Care Specialist

Rick's Medical Supply

Roseburg, OR • On-site

$17.25 - $22.75/hr

Full-time

Re-posted 18 days ago


Job description

"Improving the lives of those with chronic care diseases while providing solutions to our customers."
Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.
**PLEASE NOTE THIS IS AN IN-PERSON ROLE**
Essential Duties:
Under the general supervision of the Customer Care Supervisor, a Customer Care Specialist is responsible for maintaining a positive, helpful attitude and approach in providing excellent customer service to all customers which includes; patients, clients, referral sources, physicians, sales representatives, and fellow coworkers.
Responsibilities:
  • Answers incoming phone calls and faxes, takes customers' orders for durable medical and respiratory equipment, repairs, supplies, and other miscellaneous items
  • Maintains open communication with patients/clients and referral sources
  • Responds to patient/client questions and problems
  • Services walk in customers as needed
  • Prepares intake, gathers all necessary information about referral, patient demographics, contact person, physician, diagnosis, discharge time and place, item(s) requested
  • Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc.
  • Verifies medical necessity with physician
  • Verifies eligibility and coverage with Insurance and carrier according to guidelines or contract
  • Verifies payer (with matrix), obtains authorization, expiration date
  • Verifies patient demographics and prior equipment usage with patient
  • Informs patient of financial responsibilities: copay, share of cost, deductible, etc.
  • Enters data and each order (new or otherwise) in system accurately and in a timely manner
  • Processes closet and on call orders as received
  • Enters notes in appropriate areas of insurance, general, and authorizations in the computer system
  • Process orders to shipping or dispatching for Technician or RT deliveries
  • Remains knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information
  • Attends all departmental meetings, company meetings, and in-services
  • Reports to work daily and is ready to work at the scheduled start time
  • Works Saturday assignment as needed or scheduled
  • Performs any other duties that may be requested by supervisor or management
  • Understand and adheres to all of SuperCare Health company policies
  • To remain knowledgeable to date on all products, guidelines and insurance coverage trends
  • Maintain a professional safe and clean work environment.
  • Understand and adheres to all of SuperCare Health company policies.
  • Perform all other duties as assigned and required
  • Must meet minimum of monthly goals
  • Schedule- varying start times
  • Fundamental Computer Skills

Education and or Work Experience Requirements:
  • Experience with Medical Supply Company
  • Knowledge of diagnosis and Medical terminology
  • Excellent Customer Service skills
  • Detail oriented
  • Proficiency in Microsoft Word, Outlook, and PowerPoint
  • Experience in healthcare, medical and/or HME industry (preferred)
  • Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines
  • Strong organizational skills and detail oriented

Location
  • Roseburg, OR

Any employment proposal is contingent upon satisfactory completion of: Background Check, Reference Check(s), Driving Record (if applicable), Pre-employment Drug and TB Tests
What Rick's Medical Supply is About
"We treat our customers like family. Rick's Medical Supply, Inc. has been the source for medical supplies and equipment in the Roseburg, OR area for over forty years because of our superior commitment to provide you with the absolute best in product quality and customer service. Our highly trained staff will help you make the best choices for your needs, while providing you with friendly service and expert advice. Every effort is made to ensure that your experience is as pleasant and efficient as possible. Stop by and see us! Our business is your good health."
Connect With Us!
Company Website https://ricksmedical.com/
Company Business Hours - 8:30 AM - 5:30 PM PST
LinkedIn https://www.linkedin.com/company/rick-s-medical-supply/
Facebook https://www.facebook.com/ricksmedicalsupply
Araceli Richardson - Jr. Recruiter LinkedIn