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Prior Authorization Jobs in Oregon (NOW HIRING)

Moda Health

RX Prior Authorization Coord I

Portland, OR

$21.30 - $23.96/hr

Position Summary Utilizes the electronic prior authorization (PA) platform to process pharmacy PAs in accordance with clinical criteria and plan benefits while ensuring that the necessary data is ...

Umpqua Health

Utilization Review Specialist

Winston, OR · On-site

$41K - $47K/yr

Track prior authorization requests using established systems to ensure timely processing. * Support timely notification of prior authorization determinations. * Coordinate daily workflow and ...

BlueSprig

Insurance Authorization Specialist

$20 - $22/hr

Prior insurance authorization experience. * Strong computer proficiency and the ability to learn new systems quickly. * Excellent organizational, time management, and communication skills. * Ability ...

New

Fuze Health

OR · On-site

Claims & Prior Authorization Support: * Maintain accurate medication profiles, eligibility information, and supporting documentation. * Assist with medication claims research, prior authorization ...

Seaport Scripps Home Health

Authorization Specialist

OR · Remote

$21 - $25/hr

Authorization Specialist Location: Seaport Scripps Home Health - Remote Pay Range: $21.00 - $25.00 per hour Schedule: Full-time, 5 days/week (8:30 AM - 5:00 PM PST) with weekend rotation or staggered ...

Seaport Scripps Home Health

Authorization Specialist

OR · Remote

$21 - $25/hr

Authorization Specialist Location: Seaport Scripps Home Health - Remote Pay Range: $21.00 - $25.00 per hour Schedule: Full-time, 5 days/week (8:30 AM - 5:00 PM PST) with weekend rotation or staggered ...

Stcharles

Insurance Verification Specialist

Bend, OR

$22.30 - $30.11/hr

Communicates appropriate provider and facility information to health plan as part of the prior authorization or admission notification process. Has intermediate patient access knowledge of ...

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Prior Authorization information

See Oregon salary details

$14

$22

$34

How much do prior authorization jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for prior authorization in Oregon is $22.09, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $24.38 per hour, depending on experience, location, and employer.

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

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

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

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent and gain experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Medical Administrative Assistant (CMAA) can also enhance job prospects.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the career paths in prior authorization?

Careers in prior authorization typically include roles such as prior authorization specialists, medical reviewers, and healthcare administrators. Advancement can lead to supervisory or managerial positions, and professionals often develop skills in healthcare regulations, insurance policies, and medical coding. Certifications in medical billing and coding can enhance career growth in this field.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.
More about Prior Authorization jobs
What are the most commonly searched types of Prior Authorization jobs in Oregon? The most popular types of Prior Authorization jobs in Oregon are:
What are popular job titles related to Prior Authorization jobs in Oregon? For Prior Authorization jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Oregon look for? The top searched job categories for Prior Authorization jobs in Oregon are:
What cities in Oregon are hiring for Prior Authorization jobs? Cities in Oregon with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Oregon as of July 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $45,949 per year, or $22.1 per hour.

Prior Authorization Registered Nurse

Healthcare Support Staffing

Eugene, OR • On-site

Full-time

Medical, Dental, Vision

Re-posted 27 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

We are aggressively seeking a Provider Network Coordinator to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.


Take advantage of flexible hours, a competitive salary, and be a Prior Authorization Nurse with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!


This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization Registered Nurse and you meet the qualifications listed below, please click apply below for consideration!


Daily Responsibilities:


  • Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
  • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
  • Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
  • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients


Hours for this Position:


Monday - Friday 9:00 am -6:00 pm or 8-5pm


Advantages of this Opportunity:


Competitive salary, negotiable based on relevant experience

Benefits offered, Medical, Dental, and Vision

Fun and positive work environment


Salary:


Negotiated based on relevant job experience



Interested in being Considered?


If you are interested in applying to this position, please click Apply Now.

Qualifications
  • Active/Compact State's RN License
  • 1 year of case management experience
  • Experience with medical decision support tools (i.e. Interqual, Milliman, NCCN) and government sponsored managed care programs is preferred
Additional Information

Interested in being considered?

If you are interested in being considered for this position, please click the apply button below. 

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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