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Insurance Verification And Authorization Specialist Jobs

Mays Plus Inc

Insurance Authorization Specialist

Paris, TX · On-site

$13.75 - $18.25/hr

Description Insurance Authorization Specialist Full-Time We're looking for a detail-oriented ... Verify insurance coverage and eligibility for home health and hospice services * Obtain prior ...

Career Search

Insurance Authorization Specialist

Norman, OK · On-site

$15.75 - $21.25/hr

Insurance Authorization Specialist Full-Time We're looking for a detail-oriented Insurance ... Verify insurance coverage and eligibility for home health and hospice services * Obtain prior ...

MTK HealthCare

Prior Authorization Specialist

Hopedale, IL · On-site

$17 - $21.50/hr

MTK Healthcare is Hiring - Prior Authorization Specialist Position Details * Position: Prior ... The ideal candidate will be responsible for insurance verification, obtaining prior authorizations ...

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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 Aug 23, 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.

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

States with the most job openings for Insurance Verification And Authorization Specialist jobs include:

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The top searched job categories for Insurance Verification And Authorization Specialist jobs are:

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 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

Verification/Authorization Specialist

Metro Physical & Aquatic Therapy

Garden City, NY • On-site

$17.50 - $21.50/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 13 days ago

Job description

Company Description

Metro Physical & Aquatic Therapy is a comprehensive multidisciplinary company who offers Physical, Occupational, Speech Therapy, Massage and Acupuncture services. We take great pride in inspiring our team to create an everlasting bond with our patients, our doctors, and our community. But it's not just what we do, it's who we are. We are driven by our mission to continually invest in our people and offer the best workplace environment possible.

Job Description

The role responsible will be responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of the required prior authorization in order to proceed with testing. Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations.

Essential Functions:

1. Ensure all pre-authorizations have been approved with the proper procedure code prior to service being rendered. In addition, have the ability to work with technology necessary to complete a job effectively.

2. Ensure that ICD10 diagnosis codes are entered by all Therapists correctly.

3. Input authorizations and updating miscellaneous screens to ensure authorizations are processed.

4. Provides data entry for proper level of care which has been arranged by the Authorization received from funding sources.

5. Contacts providers and patients with authorization, denial, appeals process information, and provides other therapy options.

6. Maintain robust documentation of authorization processes and procedures.

7. Assist patients, site staff, and management with authorization issues.

8. Collaborates with other departments to receive and process authorization forms.

9. Uses good documentation skills to document process and procedure as well as conversations with clients and insurance carriers.

10. Generate "expected collections" report to notify patients of cost responsibilities. In addition, make corrections on patient accounts when errors are identified.

11. Maintain referred physician National Provider Identifier (NPI).

12. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

13. Performs other duties and assignments as required.

Qualifications

High school diploma or GED is required.

3 years of experience in the field or in a related area.

Strong customer service skills; ability to diffuse client frustrations.

Current or recent experience in a medical practice ensuring compliance with federal, state and local regulations and guidelines.

Must work well within a team environment.

Excellent interpersonal and communication skills

Proficiency in Word, Outlook, and Excel.

Ability to use logic and problem-solving skills to resolve issues, and navigate between dual monitors.

Ability to work independently under tight deadlines in a rapidly changing environment.

Ability to handle stressful situations resulting from high volume of phone calls, technical problems, frustrated customers and changes in departmental priorities or procedures.

Good organizational and multitasking skills.

Additional Information

What We Offer!

  • Competitive compensation package
  • 401(k) plan with company matching options
  • Generous Paid Time Off
  • A rich benefits package, including medical, dental, life and long-term disability insurance
  • Progressive Leadership Development Programs
  • New York's 529 College Savings Program
  • Employee Perks: discounted rates for entertainment, travel, fitness, insurance plans, etc. through our partnership with Plum Benefits
  • FSA Plans- pre tax savings plans to pay for unreimbursed medical and dental expenses, travel to & from work
  • Company Events- Annual Family Field Day, Leadership Retreats, and Holiday Awards Celebration
  • And much more!

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