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Medical Insurance Authorization Specialist Jobs (NOW HIRING)

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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 Insurance Authorization Specialist to manage insurance verification, prior authorizations, re ...

Posted today

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Insurance Authorization Specialist

Paris, TX

$13.75 - $18.25/hr

Insurance Authorization Specialist Full-Time We're looking for a detail-oriented Insurance Authorization Specialist to manage insurance verification, prior authorizations, re-authorizations, and ...

Posted today

VSI

Insurance Authorization Specialist

Reston, VA · On-site

$19 - $25.25/hr

C. metropolitan area, is seeking an Insurance Authorization Specialist to join our team ... This role is responsible for obtaining prior authorization for various medical procedures, services ...

VSI

Insurance Authorization Specialist

Reston, VA · On-site

C. metropolitan area, is seeking an Insurance Authorization Specialist to join our team ... This role is responsible for obtaining prior authorization for various medical procedures, services ...

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How much do medical insurance authorization specialist jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for medical insurance authorization specialist in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What does a medical insurance authorization specialist do?

A Medical Insurance Authorization Specialist is responsible for obtaining pre-authorization and pre-certification for medical procedures, treatments, or medications from insurance companies on behalf of healthcare providers. They ensure that the required paperwork is completed, verify patient insurance coverage, and communicate with both insurance companies and medical staff to facilitate approvals. Their work helps prevent delays in patient care and reduces the risk of denied insurance claims.

What are the most common challenges faced by medical insurance authorization specialists, and how can they be managed?

Medical Insurance Authorization Specialists often encounter challenges such as navigating complex insurance policies, dealing with frequent policy changes, and ensuring timely authorization for medical procedures. Staying up-to-date with payer requirements and maintaining strong communication with healthcare providers and insurance representatives can help manage these challenges. Additionally, attention to detail and effective time management are essential for handling high volumes of requests and preventing delays in patient care.

What are the key skills and qualifications needed to thrive as a medical insurance authorization specialist, and why are they important?

To thrive as a Medical Insurance Authorization Specialist, you need a solid understanding of medical terminology, insurance policies, and healthcare billing processes, often supported by a high school diploma or equivalent and relevant experience or training. Familiarity with electronic medical record (EMR) systems, insurance verification software, and payer portals is typically required. Attention to detail, strong organizational skills, and effective communication are essential soft skills to excel in this role. These abilities ensure accurate authorizations, minimize claim denials, and facilitate smooth coordination between healthcare providers, patients, and insurance companies.

What is the difference between Medical Insurance Authorization Specialist vs Medical Claims Processor?

AspectMedical Insurance Authorization SpecialistMedical Claims Processor
CredentialsCertification in insurance or healthcare administration often preferredNone typically required, on-the-job training common
Work EnvironmentHealthcare offices, insurance companies, hospitalsInsurance companies, healthcare facilities, billing departments
Job FocusSecuring prior authorizations and approvals for treatmentsProcessing and reviewing insurance claims for payment

The Medical Insurance Authorization Specialist primarily handles obtaining approvals for medical procedures, while the Medical Claims Processor focuses on reviewing and processing insurance claims. Both roles require knowledge of insurance policies and healthcare billing, but they serve different points in the insurance reimbursement process.

More about Medical Insurance Authorization Specialist jobs
What cities are hiring for Medical Insurance Authorization Specialist jobs? Cities with the most Medical Insurance Authorization Specialist job openings:
What states have the most Medical Insurance Authorization Specialist jobs? States with the most job openings for Medical Insurance Authorization Specialist jobs include:
What job categories do people searching Medical Insurance Authorization Specialist jobs look for? The top searched job categories for Medical Insurance Authorization Specialist jobs are:
Medical Insurance Authorization Specialist jobs near you
Infographic showing various Medical Insurance Authorization Specialist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

Medical Insurance Authorization Specialist

Neuroscience Group

Appleton, WI • On-site

$20 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

Prior Authorization Specialist
Join a Team That Keeps Patient Care Moving Forward
Neuroscience Group is growing, and we're excited to expand our Prior Authorization team! We are seeking a full-time Prior Authorization Specialist to join our Clinical Services team. This position works Monday through Friday, 8-hour daytime shifts, with no nights, weekends, or holidays.
As a Prior Authorization Specialist, you'll play a vital role in helping patients receive timely access to the testing, procedures, and treatments they need. Working closely with providers, clinical staff, insurance companies, and patients, you'll ensure prior authorizations are obtained efficiently and accurately while helping remove barriers to care. If you enjoy solving problems, thrive in a fast-paced environment, and take pride in providing exceptional customer service, we'd love to hear from you.
About Neuroscience Group
For more than 30 years, Neuroscience Group has been the region's leader in comprehensive brain, spine, and pain care. As Northeast Wisconsin's only practice bringing together neurosurgery, neurology, orthopedic spine surgery, interventional and non-interventional pain management, and physical therapy, we are committed to improving lives through exceptional patient care.
Today, our team of more than 50 providers serves patients throughout the Fox Valley and Northeast Wisconsin across nine outreach clinics. Everything we do is guided by our core values.
When you join Neuroscience Group, you become part of a collaborative team that is committed to excellence-for our patients and for one another.
Requirements
What Do You'll
As a Prior Authorization Specialist, you will:
  • Verify patient insurance coverage and maintain accurate demographic and insurance information.
  • Review provider orders, medical documentation, CPT codes, diagnosis codes, and insurance requirements to determine authorization needs.
  • Submit prior authorization requests through payer portals, fax, and telephone for diagnostic testing, procedures, and treatments performed both within Neuroscience Group and at outside facilities.
  • Gather and upload supporting clinical documentation from Epic, Care Everywhere, and external medical records.
  • Monitor pending authorization requests and proactively follow up to ensure timely approvals.
  • Communicate authorization approvals, denials, and insurance requirements with patients, providers, and clinical teams.
  • Coordinate peer-to-peer reviews between providers and insurance carriers when required.
  • Assist providers with appeals by gathering documentation and supporting appeal submissions.
  • Maintain accurate documentation and records to ensure continuity of patient care.
  • Manage incoming and outgoing documentation through FaxFinder cloud faxing.
  • Collaborate closely with physicians, clinical staff, reimbursement services, outside facilities, and fellow team members.
  • Participate in department meetings and continuous process improvement initiatives.
  • Perform additional duties as assigned.

What We're Looking For
Successful candidates will have:
  • Previous experience with medical prior authorization or precertification.
  • Working knowledge of commercial insurance, Medicare, Medicaid, Workers' Compensation, VA, and other third-party payers.
  • Experience with CPT and ICD-10 coding.
  • Previous Epic experience preferred.
  • Strong understanding of medical terminology.
  • Excellent organizational skills and exceptional attention to detail.
  • Outstanding written and verbal communication skills.
  • Strong customer service skills with a patient-first mindset.
  • Critical thinking skills and the ability to prioritize multiple tasks in a high-volume environment.
  • Proficiency with Microsoft Office and general computer applications.
  • The ability to work both independently and collaboratively within a team.
  • Physical Requirements
  • Primarily seated work with occasional standing, bending, stretching, and reaching.
  • Ability to lift supplies weighing up to 20-30 pounds.
  • Occasional assistance with wheelchair transfers may be required.
  • Ability to operate standard office equipment.
  • Sufficient visual acuity, hearing, and manual dexterity to perform essential job functions.

Why Join Neuroscience Group?
We believe outstanding employees deserve outstanding benefits. In addition to a competitive compensation package, we offer:
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Health Savings Account with generous employer contribution
  • Company-paid Life Insurance
  • Company-paid Long-Term Disability Insurance
  • Voluntary Short-Term Disability
  • Voluntary Life Insurance
  • Voluntary Accident and Critical Illness Insurance
  • Competitive compensation based on experience
  • 401(k) with guaranteed employer contribution
  • Profit Sharing
  • Cash Balance Pension Plan
  • Generous Paid Time Off
  • Separate Sick Leave Bank
  • Employee Assistance Program
  • Timber Rattlers tickets
  • Employee Appreciation Day, Annual Summer Picnic, Holiday Celebration, Years of Service Recognition
  • A supportive, collaborative workplace where your contributions make a meaningful difference every day.

If you're looking for an opportunity to combine your insurance knowledge, attention to detail, and passion for helping patients in a respected, physician-led specialty practice, we'd love to meet you. Apply today and become part of the Neuroscience Group team.
Salary Description
$20 - $24 per hour

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