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Insurance Verification And Authorization Specialist Jobs

Conway Medical Center

Authorization Specialist

Conway, SC · On-site

$15.25 - $20.50/hr

Authorization Specialist The Authorization Specialist is assigned patients to obtain insurance to ... Knowledge of online insurance eligibility and insurance verification systems. * Licensure ...

The Intersect Group

Authorization Specialist

Phoenix, AZ · On-site

$20 - $27/hr

Verify insurance eligibility, benefits, and obtain prior authorizations * Review diagnosis (ICD?10) and CPT codes to meet payer guidelines * Work directly with insurance plans and internal clinics ...

Cochise Sleep Center

Be Seen First

Authorization Specialist

Sierra Vista, AZ · On-site

$17/hr

Part-Time Authorization Specialist Cochise Sleep Center - Sierra Vista, AZ Cochise Sleep Center is ... Verify patient insurance eligibility through insurance portals and by contacting insurance ...

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Insurance Verification And Authorization Specialist information

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How much do insurance verification and authorization specialist jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for insurance verification and authorization specialist in the United States is $18.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What is an insurance verification and authorization specialist?

An Insurance Verification and Authorization Specialist is a healthcare administrative professional responsible for confirming patients’ insurance coverage and obtaining necessary authorizations for medical procedures or services. They communicate with insurance companies to verify benefits, eligibility, and pre-authorization requirements, ensuring that services are covered and reducing the risk of claim denials. These specialists play a key role in streamlining the billing process and helping patients understand their coverage. Their work helps medical providers receive timely payment and provides patients with clarity about their financial responsibilities.

What are the key skills and qualifications needed to thrive as an insurance verification and authorization specialist?

To thrive as an Insurance Verification and Authorization Specialist, you need strong knowledge of insurance policies, medical terminology, and healthcare billing procedures, usually supported by a high school diploma or relevant experience. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is essential. Attention to detail, strong organizational skills, and effective communication are vital soft skills in this role. These competencies ensure accurate processing of insurance claims and authorizations, minimizing delays in patient care and reducing claim denials.

What are some common challenges faced by insurance verification and authorization specialists, and how can they be addressed?

Insurance Verification and Authorization Specialists often encounter challenges such as navigating complex insurance policies, managing communication between providers and payers, and handling time-sensitive authorization requests. Staying organized and detail-oriented is essential, as missing or incorrect information can lead to claim denials or delays in patient care. Building strong relationships with insurance representatives and maintaining up-to-date knowledge of payer requirements can help streamline the process and reduce errors. Regular training and effective use of verification software can also aid in efficiently managing workloads.

What is the difference between Insurance Verification And Authorization Specialist vs Insurance Billing Specialist?

AspectInsurance Verification And Authorization SpecialistInsurance Billing Specialist
Primary RoleVerifies patient insurance coverage and obtains prior authorizationsProcesses and submits insurance claims, manages billing and payments
CredentialsTypically requires medical office experience, knowledge of insurance policiesOften requires billing certifications or coding knowledge
Work EnvironmentHealthcare settings, clinics, hospitalsMedical offices, billing companies, healthcare providers
Employer & Industry UsageUsed in healthcare to ensure coverage before servicesUsed to handle claims and payments after services

While both roles are essential in healthcare revenue cycle management, the Insurance Verification And Authorization Specialist focuses on verifying coverage and obtaining approvals before treatment, whereas the Insurance Billing Specialist handles claims processing and payment collection after services are rendered.

More about Insurance Verification And Authorization Specialist jobs

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Cities with the most Insurance Verification And Authorization Specialist job openings:

What states have the most Insurance Verification And Authorization Specialist jobs?

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What job categories do people searching Insurance Verification And Authorization Specialist jobs look for?

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Insurance Verification And Authorization Specialist jobs near you
Infographic showing various Insurance Verification And Authorization Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Specialty - Verification & Authorization Specialist

ContinuumRx

Chantilly, VA • On-site

$17.50 - $21.50/hr

Other

Medical

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

Job Summary:
The Verification Specialist - Specialty role is responsible for processing benefit verification and authorization responsibilities of specialty patient
accounts.
Roles and Responsibilities:
  • Verifies benefit coverage and as appropriate, financial responsibility.
  • Creates Insurance Benefit Summary (IBS) documents, as needed
  • Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in accordance with the insurance eligibility/coverage information provided by payor at time of insurance verification
  • Obtains prior authorization for specialty therapies
  • Review, process, and follow to completion the requirement of obtaining prior authorization for services. This excludes PBM authorizations.
  • Coordinates with the Intake Specialists and the Clinical Review Team to identify and process requests for services requiring Prior Authorization and/or Pre-Determination for services rendered.
  • Documents all patient interaction in EMR as a billing note
  • Serves as a resource and problem resolution expert for patients, Intake and Sales
  • As needed, verifies insurance coverage and eligibility through payor websites, E1 check, or by calling the payor directly. Documents information in EMR and communicates as appropriate to team members
  • Assists with Ready To Bill (RTB) as appropriate
  • Performs other duties and special projects, as assigned
Qualifications and Experience:
Required:
  • 2 or more years of experience in healthcare. reimbursement with focus on insurance verification and authorizations
  • Experience with coordination of benefits, including but not limited to HMO, PPO, TPA, state and federal payors; preferred but not required
  • Prior work in specialty or home infusion, homecare or related field; preferred but not required.
  • Strong computer skills (Microsoft Word, Excel, PowerPoint)
  • Exceptional communication - verbal and written
  • Exceptional interpersonal skills
  • Exceptional organizational and process skills
  • Ability to work well under pressure, meet timelines, and completes assigned projects
  • Exceptional critical thinking and problem solving skills
  • Proven performance, history in related field
  • Exceptional attention to detail and demonstrated results
  • Exceptional track record of customer satisfaction

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