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Prior Authorization Coordinator Jobs in Renton, WA

Sound Pain Alliance

Procedure Coordinator

Silverdale, WA · On-site

$21 - $25/hr

Procedure Coordinator Location: Peninsula Pain Clinic Employment Type: Full-Time Monday- Thursday ... Obtain and manage prior authorizations, including submitting documentation and insurance ...

Sound Pain Alliance

Procedure Coordinator

Silverdale, WA · On-site

$21 - $25/hr

Procedure Coordinator Location: Peninsula Pain Clinic Employment Type: Full-Time Monday- Thursday ... Obtain and manage prior authorizations, including submitting documentation and insurance ...

Proliance Surgeons

Auth/Ben Specialist

Tacoma, WA · On-site

$19.97 - $31.95/hr

Coordinates and processes medical prior authorizations for surgical/procedures by reviewing insurance and submitting information needed for coverage * Able to triage incoming calls and requests form ...

CHPW

Utilization Management Coordinator I

Seattle, WA · On-site +1

$21 - $28.98/hr

Researches and validates benefit and prior authorization requirements to determine appropriate ... and care coordination. Escalating issues as needed. * Reporting to work on time and for all ...

Snoqualmie Valley Health

Referral Coordinator

Snoqualmie, WA · On-site

$19.75 - $25.75/hr

The Referral Coordinator is responsible for managing and obtaining all prior authorizations for outgoing specialist visits, procedures, and diagnostic testing. This role also ensures that all ...

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All JobsPrior Authorization JobsPrior Authorization Coordinator JobsPrior Authorization Coordinator Jobs in Renton, WA

Prior Authorization Coordinator information

See Renton, WA salary details

$15

$23

$35

How much do prior authorization coordinator jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for prior authorization coordinator in Renton, WA is $23.98, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $24.86 per hour, depending on experience, location, and employer.

What is the difference between Prior Authorization Coordinator vs Medical Billing Specialist?

AspectPrior Authorization CoordinatorMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like CPC or CPC-HRequires coding certifications (CPC, CCS) and knowledge of billing procedures
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesMedical offices, hospitals, or billing companies
Employer & Industry UsageUsed in healthcare settings to manage insurance approvalsUsed across healthcare to process and submit claims
Search & Comparison IntentPeople compare roles related to insurance approval processesPeople compare roles related to billing and claims processing

The Prior Authorization Coordinator focuses on obtaining insurance approvals before treatment, ensuring coverage compliance. In contrast, the Medical Billing Specialist handles submitting claims and processing payments after services are rendered. Both roles are essential in healthcare administration but differ in their primary functions and workflows.

What are the key skills and qualifications needed to thrive as a Prior Authorization Coordinator, and why are they important?

To thrive as a Prior Authorization Coordinator, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or a related certification. Familiarity with electronic health records (EHR), insurance portals, and prior authorization management systems is typically required. Attention to detail, organizational skills, and effective communication are essential soft skills for efficiently handling authorization requests and collaborating with providers and insurers. These skills ensure timely approvals, minimize claim denials, and support smooth patient access to prescribed care.

What are Prior Authorization Coordinators?

Prior Authorization Coordinators are healthcare professionals responsible for managing and obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. Their main duties include reviewing patient information, communicating with healthcare providers and insurers, and ensuring all necessary documentation is submitted for timely authorization. They play a crucial role in reducing delays in care and helping patients navigate complex insurance requirements. Strong communication, attention to detail, and knowledge of insurance processes are essential skills for this role.

What are some common challenges faced by Prior Authorization Coordinators, and how can they be managed effectively?

Prior Authorization Coordinators often encounter challenges such as navigating complex insurance requirements, keeping up with frequent policy changes, and managing high volumes of requests. To handle these effectively, coordinators need strong organizational skills, attention to detail, and the ability to communicate clearly with both healthcare providers and insurance representatives. Staying updated on payer guidelines and using electronic health record (EHR) systems efficiently can also streamline the process and reduce delays in patient care.
What are the most commonly searched types of Prior Authorization jobs in Renton, WA? The most popular types of Prior Authorization jobs in Renton, WA are:
What job categories do people searching Prior Authorization Coordinator jobs in Renton, WA look for? The top searched job categories for Prior Authorization Coordinator jobs in Renton, WA are:
What cities near Renton, WA are hiring for Prior Authorization Coordinator jobs? Cities near Renton, WA with the most Prior Authorization Coordinator job openings:
Prior Authorization Coordinator jobs near you
Infographic showing various Prior Authorization Coordinator job openings in Renton, WA as of July 2026, with employment types broken down into 1% As Needed, 84% Full Time, 14% Part Time, and 1% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $49,873 per year, or $24 per hour.
Authorization & Benefits Specialist

Authorization & Benefits Specialist

Proliance Surgeons

Renton, WA • On-site

$21.57 - $31.95/hr

Full-time

Medical, Life, Retirement, PTO

Posted 22 days ago

Proliance Surgeons rating

7.8

Company rating: 7.8 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

Job description

At Proliance Surgeons our patients come from all walks of life - and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliance a great place to work. Our unique experiences and perspectives help us deliver Exceptional Outcomes, Personally Delivered.
We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers. Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity. Be Part of Who We Are!
Position Summary
The Authorization and Benefits Specialist is responsible for efficiently working accounts receivable for the organization, while maintaining customer service. This position will focus on obtaining prior authorization for procedures.
Key Duties and Responsibilities
The key duties and responsibilities of the Authorization and Benefits Specialist include, but are not limited to:
  • Coordinates and processes medical prior authorizations for surgical/procedures by reviewing insurance and submitting information needed for coverage
  • Able to triage incoming calls and requests form provider groups/patient for authorization of services, questions, status updates
  • Ensure professional communication with patients, clinic personnel, and outside vendors whether over the phone, via email or other written documentation and respond to all inquiries
  • Maintain a working knowledge of health care plan requirements and health plan networks
  • Verify and document insurance information as defined by current business practices
  • Accurately post all payments received from patients, attorney offices and/or insurance companies
  • Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions
  • Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes
  • Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy
  • Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
  • Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
  • Review and work any credit balances to determine if patient and/or insurance company refund is applicable
  • Other duties as assigned

Education/Experience
  • High School diploma/GED or equivalent
  • Customer service experience
  • Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred
  • Medicare experience strongly preferred.
  • Insurance experience and knowledge in commercial, work comp, and government payers required

Knowledge, Skills and Abilities
  • Attention to detail, excellent organizational and time management skills
  • Ability to work both independently and as a team member
  • Demonstrated ability to learn quickly and function well in a fast paced, high-pressure environment
  • Great interpersonal skills; demonstrating patience, composure and cooperation; working well with all patients, physicians, staff, and other business associates
  • Understanding of and adherence to all safety, risk management and precautionary procedures (OSHA/WISHA), including the consistent respect for confidentiality (HIPAA)
  • Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision

Work Environment/Physical Demands
The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

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