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Prior Authorization Coordinator Jobs in Reston, VA

Care Coordinator

Ashburn, VA · On-site

$22 - $25/hr

Care Coordinator with some prior medical office experience needed to greet clients, schedule appointments, answer phones, check insurance benefits via phone or online, obtain prior-authorizations ...

Care Coordinator with some prior medical office experience needed to greet clients, schedule appointments, answer phones, check insurance benefits via phone or online, obtain prior-authorizations ...

Registration Coordinator

Arcola, VA · On-site

$19.46 - $29.19/hr

Verifying insurance eligibility, obtaining prior authorizations, and collecting copays and other patient payments. * Coordinating with providers, clinical staff, financial counselors, and billing ...

Registration Coordinator

Reston, VA · On-site

$19.46 - $29.19/hr

Verify insurance eligibility, obtain prior authorizations, and collect copays and other patient ... office coordination. * Maintain accurate patient records and follow established scheduling ...

Patient Coordinator

Fairfax, VA · On-site

$17.50 - $23.25/hr

Patient Coordinator Practice: Northern Virginia Surgery Centers Location: Fairfax, VA Hours: Monday ... Verify patient insurance information and manage prior authorization processes. * Handle billing and ...

Verify insurance eligibility, obtain prior authorizations, and collect copays and other patient ... office coordination. * Maintain accurate patient records and follow established scheduling ...

Registration Coordinator

Reston, VA · On-site

$19.46 - $29.19/hr

Verify insurance eligibility, obtain prior authorizations, and collect copays and other patient ... office coordination. * Maintain accurate patient records and follow established scheduling ...

Patient Coordinator

Fairfax, VA · On-site

$17.50 - $23.25/hr

Patient Coordinator Practice: Northern Virginia Surgery Centers Location: Fairfax, VA Hours: Monday ... Verify patient insurance information and manage prior authorization processes. * Handle billing and ...

Financial Counselor

Bethesda, MD · On-site

$20.09 - $33.48/hr

Monitors and coordinates internally and externally with the insurance company on the pre-certification and prior authorization processes, including peer-2-peer and appeals, seeking support from ...

Financial Counselor

Bethesda, MD · On-site

$20.09 - $33.48/hr

Monitors and coordinates internally and externally with the insurance company on the pre-certification and prior authorization processes, including peer-2-peer and appeals, seeking support from ...

Obtain physician and facility pre-certifications and prior authorizations required for surgical ... Experience coordinating multiple providers, appointments, and procedures in a fast-paced clinical ...

Position Title: Surgical Scheduling Coordinator Primary Location: Onsite Schedule: Full-Time | ... Obtain physician and facility pre-certifications and prior authorizations * Verify insurance ...

Showing results 21-40

Prior Authorization Coordinator information

See Reston, VA salary details

$14

$22

$33

How much do prior authorization coordinator jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for prior authorization coordinator in Reston, VA is $22.18, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $23.03 per hour, depending on experience, location, and employer.

What is a prior authorization coordinator?

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 the key skills and qualifications needed to thrive as a prior authorization coordinator?

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 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 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.

Is prior authorization a stressful job?

Prior Authorization Coordinators often experience stress due to tight deadlines, the need for accuracy, and managing complex insurance requirements. The role requires attention to detail, communication skills, and familiarity with medical policies, which can contribute to job pressure but also offers a structured workflow to handle tasks efficiently.

What are the most commonly searched types of Prior Authorization jobs in Reston, VA?

The most popular types of Prior Authorization jobs in Reston, VA are:

What are popular job titles related to Prior Authorization Coordinator jobs in Reston, VA?

For Prior Authorization Coordinator jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Coordinator jobs in Reston, VA look for?

The top searched job categories for Prior Authorization Coordinator jobs in Reston, VA are:

What cities near Reston, VA are hiring for Prior Authorization Coordinator jobs?

Cities near Reston, VA with the most Prior Authorization Coordinator job openings:

Infographic showing various Prior Authorization Coordinator job openings in Reston, VA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $46,128 per year, or $22.2 per hour.

$18 - $24/hr

Full-time

PTO

Posted 6 days ago


PT Solutions Physical Therapy rating

7.4

Company rating: 7.4 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

267th of 893 rated healthcare providers


Job description

Why Join PT Solutions?
At PT Solutions Physical Therapy, we’re more than just a private practice—we’re a clinician-founded, mission-driven community dedicated to expanding access to life-changing care. As a Patient Service Coordinator, you’ll be the vital link between patients, providers, and insurers—ensuring every step of the care journey is seamless, efficient, and supportive.

In this role, you’ll take ownership of key administrative and communication processes that keep our practice moving. From verifying insurance coverage and securing prior authorizations to coordinating physician referrals and optimizing schedules, you'll play a central part in helping patients access the care they need—quickly and confidently.

At PT Solutions, we invest in our team with ongoing training, mentorship, and clear paths for advancement. If you're passionate about helping others and ready to grow in a supportive, forward-thinking organization—this is your opportunity. Plus, we have been recognized as a USA Today Top Workplace five years in a row, including 2026!

What You Will Get 

In addition to the standard benefit offering, you can expect to receive: 

  • Competitive compensation with ability to earn performance-based incentives
  • Professional development through strategic internal platforms
  • Opportunity for career progression with a nationwide physical therapy practice
  • Paid Time Off (PTO) and either Sick Leave or Extended Illness Bank (EIB) accrual (dependent on state laws)
  • Reimbursement for endurance race entry fees

Your Responsibilities as a Patient Service Coordinator

  • Reconcile patient payments and units billed while following HIPAA guidelines
  • Follow appropriate processes for Insurance Verification and/or benefits management
  • Obtain authorization and/or prior authorization
  • Over the counter collections and reconciliation of all charges weekly and monthly
  • Maintain relationships with patients, providers, clinicians, and internal operational departments

Qualifications 

  • At minimum, a High School or GED diploma (Submission of diploma for the highest level of education obtained will be required).
  • 1-2 years of customer service experience (experience with healthcare preferred).

Schedule

  • Full Time: Flexible schedule - opening twice a week and closing twice a week.

Compensation

Pay Range: $18-$24/hour (Any posted pay range considers multiple compensations factors including background, experience, and work location while also allowing for salary growth within the position)


A Top Workplace

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. 

PT Solutions has been named a 2026 USA Today Top Workplace for the fifth consecutive year, based entirely on employee feedback. We’ve also earned five Culture Excellence Awards for Innovation, Professional Development, Work-Life Flexibility, Appreciation, and Purpose & Values. This recognition reflects a culture built around supporting our people. It’s not just what we do, but how we make people feel. Through human connection, intentional care, and being all in for one another, we create experiences that make a difference. Because together, we do great better.

Let’s go further together and transform care.Join the #PTSLife today! To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn. 

We are an equal opportunity employer and welcome all qualified candidates to apply!


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