ZipRecruiter

Log In

1

Prior Authorization Jobs in Remote, OR (NOW HIRING)

Therapeutic Associates

Authorization Representative

OR · On-site +1

$17 - $20/hr

The position is responsible for managing daily physical therapy authorization requests, insurance ... Two years of prior medical office work experience, preferred * Two year's customer service ...

Evergreen Family Medicine

Referral Clerk

Roseburg, OR · On-site

$16.50 - $21/hr

Receives and coordinates all referrals and prior authorization requests, submitting appropriate information in a timely manner. * Maintain current knowledge of all insurances including verifying ...

Evergreen Family Medicine

Referral Clerk

Roseburg, OR

$16.50 - $21/hr

Receives and coordinates all referrals and prior authorization requests, submitting appropriate information in a timely manner. * Maintain current knowledge of all insurances including verifying ...

Evergreen Family Medicine

Referral Clerk

Roseburg, OR · On-site

$18.52 - $24/hr

Receives and coordinates all referrals and prior authorization requests, submitting appropriate information in a timely manner. * Maintain current knowledge of all insurances including verifying ...

Umpqua Health

Customer Care Specialist

Roseburg, OR · On-site

$41K - $46K/yr

Educate members on health plan benefits, including provider access, prior authorization processes, pharmacy benefits, wellness programs, and available services. * Connect members to community ...

Umpqua Health

Customer Care Specialist

Roseburg, OR · On-site

$41K - $46K/yr

Educate members on health plan benefits, including provider access, prior authorization processes, pharmacy benefits, wellness programs, and available services. * Connect members to community ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable ...

Vensure Employer Services

Be Seen First

Medical Assistant

OR · Remote

$18.25 - $23.25/hr

Coordinate prescriptions, prior authorizations, and pharmacy communications * Review laboratory results and route information to providers as appropriate * Follow up with patients after appointments ...

CONFEDERATED TRIBES OF CLUSI

Pharmacy Biller

Coos Bay, OR

$17.25 - $22.25/hr

Initiates and tracks prior authorizations to support successful medication claim processing. Contacts third-party payors via phone, email, or fax to follow up on outstanding accounts (30, 60, 90, or ...

Costco Wholesale Corporation

Payroll Clerk

Roseburg, OR · On-site

$19 - $24.75/hr

... prior to filing. * Maintains employee personnel files. Retains payroll report history, timecard books, terminated employee files, organized and stored in boxes. * Issues authorized job/wage ...

next page

Showing results 1-20

All JobsPrior Authorization JobsPrior Authorization Jobs in Remote, OR

Prior Authorization information

See Remote, OR salary details

$13

$20

$32

How much do prior authorization jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for prior authorization in Remote, OR is $20.87, 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.

How to become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with 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 Professional Coder (CPC) can enhance job prospects.

What jobs pay $4000 a week without a degree?

Jobs that can pay $4,000 a week without a degree include certain sales roles, real estate agents, commercial pilots, and skilled trades such as electricians or plumbers with experience. These positions often require specialized skills, certifications, or licensing but do not necessarily require a college degree. High earnings typically depend on experience, performance, and the industry environment.

How much do precertification specialists make?

Precertification specialists typically earn between $35,000 and $55,000 annually, depending on experience, location, and employer. They often require knowledge of insurance policies and medical billing systems, and some roles may offer additional benefits or bonuses.

What Is Prior Authorization?

Prior authorization is a check done by insurance companies and other third-party payers to determine whether or not they should pay for a medical procedure or specific medication. Factors that can trigger prior authorization requests include things like age, the availability of alternative medicines, or the need to check for drug interactions. If they reject the prior authorization, payers often require doctors to attempt the insurance company's preferred procedure and verify unsuccessful results before accepting an alternative treatment plan. Pre-authorization requests can take up to 30 days, though insurance companies and healthcare providers are continuing to work on ways to cut this time down.

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.

What is prior authorization in healthcare?

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 career paths follow prior authorization?

Careers following prior authorization typically 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 working in insurance companies, healthcare providers, or pharmacy benefit management companies.
More about Prior Authorization jobs
What are the most commonly searched types of Prior Authorization jobs in Remote, OR? The most popular types of Prior Authorization jobs in Remote, OR are:
What are popular job titles related to Prior Authorization jobs in Remote, OR? For Prior Authorization jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Remote, OR look for? The top searched job categories for Prior Authorization jobs in Remote, OR are:
What cities near Remote, OR are hiring for Prior Authorization jobs? Cities near Remote, OR with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Remote, OR as of July 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $43,417 per year, or $20.9 per hour.
Authorization Representative

Authorization Representative

Therapeutic Associates

OR • On-site, Remote

$17 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

What We Offer:
  • Employees (and their families) Medical, Dental, Vision, and Insurance
  • Life, AD&D and Long-Term Disability insurance
  • Employee & family Physical Therapy benefits
  • Parental leave
  • Continued Education Stipend
  • Continuing Education PTO (1 day annually)
  • Accrue up to 15 days of PTO (sick and vacation time)-increases over time
  • 6 paid holidays, 1 charitable giving day, and up to 2 personal days
  • 401(k) and profit-sharing program (Up to 5% of total compensation)
  • Interactive Wellness Program with rewards for balanced, healthy living
  • MedBridge learning subscription
  • Potential Student Loan Repayment
  • Potential Annual performance bonus

Therapeutic Associates, Inc. is seeking a full time Authorization Representative to join our corporate team. The position is responsible for managing daily physical therapy authorization requests, insurance eligibility and verification, assisting with insurance billing for each TAI clinic location - ensuring governmental and commercial billing guidelines are followed. Generally relies on established protocols to perform job responsibilities but familiarity with standard concepts, practices, and procedures within the medical field are expected.
Duties & Responsibilities:
  • Process, follow-up, and monitor all authorizations submitted for physical therapy clinics.
  • Periodically review Physical Therapist charts and other documents to verify correct CPT and ICD codes for claim creation and insurance billing.
  • Assist TAI Customer Service and Accounts Receivable departments with billing and reimbursement issues; perform corrections to claims as needed.
  • Request additional information from clinic staff as necessary to complete insurance authorization requests.
  • Assist as needed with the Patient Registration team to verify and check insurance eligibility of new patients prior to initial appointment.

Minimum Qualifications:
  • Associate's degree or equivalent experience
  • Two years of prior medical office work experience, preferred
  • Two year's customer service experience
  • Working knowledge of medical insurance billing or coding

Who We Are:
  • Legacy - Therapeutic Associates is the pioneer of outpatient physical therapy. Since its founding in 1952, the Company has thrived by adhering to the highest standards of excellence, adapting and innovating while serving patients with quality care and compassion. We continue to be an important part of leading and advocating for the advancement of our profession.
  • Independence within Partnership - Therapeutic Associates is made up of a partnership of unique clinics, each locally directed by physical therapists who are dedicated to their patients, their communities and to our profession. Our clinics are managed by owners and directors who have the support and resources of our large organization combined with the freedom to make decisions with their teams to best serve their patients and community.

#LI-DNI

Apply