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Prior Authorization Jobs in Oregon (NOW HIRING)

Cencora

Field Reimbursement Specialist

OR · On-site +1

$19.25 - $26.50/hr

For this position, expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential, as the supported medication is typically covered under pharmacy ...

Pelago

Medical Assistant

OR · On-site +1

$17.75 - $22.75/hr

Embedded within a cross-functional care team, you'll serve as the primary coordinator for medication management and prior authorization workflows, helping ensure members have timely access to ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Oregon

Prior Authorization information

See Oregon salary details

$14

$22

$34

How much do prior authorization jobs pay per hour?

As of Aug 22, 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 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.

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, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

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.
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 August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $45,949 per year, or $22.1 per hour.

Field Reimbursement Specialist

Cencora

OR • On-site, Remote

$19.25 - $26.50/hr

Full-time

Medical, Dental, Vision

Re-posted 16 days ago

Job description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Details

Please note:

Interested candidates must live within a reasonable commuting distance of a major airport in the listed location and be able to travel up to 80% within a territory that includes but may not be limited to Washington, Oregon, Northern California, and Northern Nevada.

The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert on reimbursement, access, and coverage issues. The FRS play a critical role in ensuring patients can access specialty medications by educating healthcare providers and their staff on complex insurance and reimbursement processes and resolving access barriers.

In this role, FRSs act as liaisons between providers, manufacturers, pharmacies, and payers to navigate reimbursement challenges. They meet directly with healthcare providers and their office staff to provide education on the reimbursement and access considerations specific to a specialty medication. For this position, expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential, as the supported medication is typically covered under pharmacy benefits.

Key responsibilities include:

  • Educating providers and their office staff on access and reimbursement topics using client-approved resources.

  • Supporting appropriate patient access to the client's products by resolving reimbursement and coverage challenges.

  • Collaborating with other patient assistance and reimbursement support services offered by the client.

This role requires weekly travel, including potential overnight stays, to healthcare offices within a designated territory. FRSs use their expertise in coverage, patient assistance, and health policy to educate office staff, address access challenges, and ultimately help patients receive the medications they need.

As an FRS, a typical day might include:

  • Educate provider office staff and practice managers on insurance issues relevant to the supported clients product, and inform the staff of important coverage and payer policy changes within assigned territories.

  • Educate provider office staff with understanding the payers' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes.

  • Probe to understand office processes and ability to discern root causes of access or reimbursement issues.

  • Deliver interactive educational presentations at various provider sites of service.

  • Provide information on relevant reimbursement topics related to our client's products based on client's approval.

  • Performs other related duties as assigned.

#LI-MP1

Skills and Abilities:

  • Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.

  • Understands the dynamics of specialty pharmacy.

  • Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes.

  • Deep understanding of pharmacy benefits/policies.

  • Strong time management and planning skills.

  • Proficient in Microsoft Word, Powerpoint, Excel, and Outlook.

  • Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to Washington, Oregon, Northern California, and Northern Nevada.

Education and Experience:

  • High School Diploma/GED required.

  • Bachelor's degree or relevant practice management experience preferred.

  • Previous experience as Field Reimbursement Manager/Specialist preferred.

  • Previous experience working in healthcare directly resolving pharmacy benefit access issues.

  • Experience with extensive travel.

  • Candidates must be willing to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora

Full time
Salary Range*
$93,500 - 187,000

*This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

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Affiliated Companies:Affiliated Companies: Cencora Patient Services, LLC

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