Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or ...
Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or ...
Pharmacy Technician - Prior Authorization, Help Desk
Renton, WA · On-site
$19.75 - $24/hr
Pharmacy Technician - Prior Authorization, Help Desk LOCATION: Renton, Washington REQNUMBER: 1432240 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or ...
Pharmacy Technician - Prior Authorization, Help Desk
Renton, WA · On-site
$19.75 - $24/hr
Pharmacy Technician - Prior Authorization, Help Desk LOCATION: Renton, Washington REQNUMBER: 1432240 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or ...
Pharmacy Technician - Infusion Authorization
Seattle, WA · On-site
$46.98/hr
Refer appropriate patients to financial counseling for coverage or charity application. • Function as infusion prior authorization and access resource for UWMC ambulatory clinics and Pharmacy • ...
Pharmacy Technician - Infusion Authorization
Seattle, WA · On-site
$46.98/hr
Refer appropriate patients to financial counseling for coverage or charity application. • Function as infusion prior authorization and access resource for UWMC ambulatory clinics and Pharmacy • ...
Pharmacy Technician - Infusion Authorization
Seattle, WA · On-site +1
$46.98/hr
Refer appropriate patients to financial counseling for coverage or charity application. • Function as infusion prior authorization and access resource for UWMC ambulatory clinics and Pharmacy • ...
Pharmacy Technician - Infusion Authorization
Seattle, WA · On-site +1
$46.98/hr
Refer appropriate patients to financial counseling for coverage or charity application. • Function as infusion prior authorization and access resource for UWMC ambulatory clinics and Pharmacy • ...
Pharmacy Technician - Infusion Authorization
Seattle, WA · On-site
$31.86/hr
Function as infusion prior authorization and access resource for UWMC ambulatory clinics and Pharmacy Contact Department of Health, caseworkers, and patients with regard to missing documents for ...
Pharmacy Technician - Infusion Authorization
Seattle, WA · On-site
$31.86/hr
Function as infusion prior authorization and access resource for UWMC ambulatory clinics and Pharmacy Contact Department of Health, caseworkers, and patients with regard to missing documents for ...
Authorization & Benefits Specialist
Issaquah, WA · On-site
$20.75 - $27.75/hr
This position will focus on obtaining prior authorization for procedures. *Fully Remote but must be currently located, or willing to relocate to the following states - Washington State, Arizona ...
Authorization & Benefits Specialist
Issaquah, WA · On-site
$20.75 - $27.75/hr
This position will focus on obtaining prior authorization for procedures. *Fully Remote but must be currently located, or willing to relocate to the following states - Washington State, Arizona ...
Authorization & Benefits Specialist
Issaquah, WA · On-site
$19.97 - $31.95/hr
This position will focus on obtaining prior authorization for procedures. *Fully Remote but must be currently located, or willing to relocate to the following states - Washington State, Arizona ...
Authorization & Benefits Specialist
Issaquah, WA · On-site
$19.97 - $31.95/hr
This position will focus on obtaining prior authorization for procedures. *Fully Remote but must be currently located, or willing to relocate to the following states - Washington State, Arizona ...
Authorization & Benefits Specialist
Seattle, WA · On-site
$21.30 - $31.95/hr
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 ...
Authorization & Benefits Specialist
Seattle, WA · On-site
$21.30 - $31.95/hr
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 ...
Authorization & Benefits Specialist
Seattle, WA · On-site
$20.50 - $27.25/hr
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 ...
Authorization & Benefits Specialist
Seattle, WA · On-site
$20.50 - $27.25/hr
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 ...
Pharmacy Technician 2 - Specialty Pharmacy
Seattle, WA · On-site
$31.86/hr
Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate. Provide formulary assistance to clinics through evaluating ...
Pharmacy Technician 2 - Specialty Pharmacy
Seattle, WA · On-site
$31.86/hr
Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate. Provide formulary assistance to clinics through evaluating ...
Pharmacy Technician 2 - Specialty Pharmacy
Seattle, WA · On-site +1
$46.98/hr
Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate. • Provide formulary assistance to clinics through ...
Pharmacy Technician 2 - Specialty Pharmacy
Seattle, WA · On-site +1
$46.98/hr
Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate. • Provide formulary assistance to clinics through ...
Pharmacy Technician 2 - Specialty Pharmacy
Seattle, WA · On-site
$46.98/hr
Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate. • Provide formulary assistance to clinics through ...
Pharmacy Technician 2 - Specialty Pharmacy
Seattle, WA · On-site
$46.98/hr
Submit prior authorization requests, follow up on submitted prior authorization requests and submit claims with approvals as appropriate. • Provide formulary assistance to clinics through ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Quick apply
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Clinical Pharmacy Technician Sr - Medi-Cal Rx (Remote California)
Home, WA · Remote
$19.23 - $28.85/hr
Independently review, research, and resolve prior authorization requests by applying clinical criteria, established guidelines, and professional judgment within defined protocols * Communicate ...
Clinical Pharmacy Technician Sr - Medi-Cal Rx (Remote California)
Home, WA · Remote
$19.23 - $28.85/hr
Independently review, research, and resolve prior authorization requests by applying clinical criteria, established guidelines, and professional judgment within defined protocols * Communicate ...
*Pharmacy Tech I
Seattle, WA · On-site
$21.29/hr
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process, and transfers all ...
*Pharmacy Tech I
Seattle, WA · On-site
$21.29/hr
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process, and transfers all ...
Clinical Pharmacy Technician Sr - Medi-Cal Rx (Remote California)
Home, WA · Remote
$19.23 - $28.85/hr
Independently review, research, and resolve prior authorization requests by applying clinical criteria, established guidelines, and professional judgment within defined protocols * Communicate ...
Clinical Pharmacy Technician Sr - Medi-Cal Rx (Remote California)
Home, WA · Remote
$19.23 - $28.85/hr
Independently review, research, and resolve prior authorization requests by applying clinical criteria, established guidelines, and professional judgment within defined protocols * Communicate ...
*Pharmacy Tech I
Seattle, WA · On-site
$21.29/hr
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process, and transfers all ...
*Pharmacy Tech I
Seattle, WA · On-site
$21.29/hr
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process, and transfers all ...
Procedure Coordinator
Silverdale, WA · On-site
$21 - $25/hr
Coordinate and schedule patient procedures from start to finishObtain and manage prior authorizations, including submitting documentation and insurance follow-upCommunicate clearly and ...
Quick apply
Procedure Coordinator
Silverdale, WA · On-site
$21 - $25/hr
Coordinate and schedule patient procedures from start to finishObtain and manage prior authorizations, including submitting documentation and insurance follow-upCommunicate clearly and ...
Specialty Billing Technician
Seattle, WA · On-site
$20.75 - $26.75/hr
Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities. * Responsible for ...
Specialty Billing Technician
Seattle, WA · On-site
$20.75 - $26.75/hr
Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities. * Responsible for ...
Prior Authorization information
See Renton, WA salary details
$15.41 - $17.31
6% of jobs
$17.31 - $19.20
14% of jobs
$19.67 is the 25th percentile. Wages below this are outliers.
$19.20 - $21.09
20% of jobs
The median wage is $22.15 / hr.
$21.09 - $22.98
18% of jobs
$22.98 - $24.88
16% of jobs
$25.09 is the 75th percentile. Wages above this are outliers.
$24.88 - $26.77
12% of jobs
$26.77 - $28.66
7% of jobs
$28.66 - $30.55
5% of jobs
$30.55 - $32.45
2% of jobs
$32.45 - $34.34
0% of jobs
$34.34 - $36.23
0% of jobs
$15
$23
$36
How much do prior authorization jobs pay per hour?
What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?
What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?
What is the difference between Prior Authorization vs Medical Billing Specialist?
| Aspect | Prior Authorization | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIP | Requires knowledge of coding, billing procedures, and often certifications like CPC or CCS |
| Work Environment | Healthcare provider offices, insurance companies, or hospitals | Medical offices, billing companies, or healthcare facilities |
| Employer & Industry Usage | Used by healthcare providers and insurers to approve treatments or procedures | Used 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?
What is a prior authorization job?
What are the career paths in prior authorization?
What is prior authorization?
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 are popular job titles related to Prior Authorization jobs in Renton, WA?
For Prior Authorization jobs in Renton, WA, the most frequently searched job titles are:
What cities near Renton, WA are hiring for Prior Authorization jobs?
Cities near Renton, WA with the most Prior Authorization job openings:

$78K/yr
Full-time
Medical, Retirement
Re-posted 9 days ago
Job 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!
Daily Responsibilities Prior Auth RN:
- Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
- Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
- Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
- Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care
- Educate providers on utilization and medical management processes
- Provide clinical knowledge and act as a clinical resource to non-clinical team staff
- Enter and maintain pertinent clinical information in various medical management systems
Requirements RN Prior Authorizations:
- RN license
- Associate's degree in Nursing.
- Minimum of 2-5 years of clinical experience in acute setting
- One of these 2: experience authorizing services or experience calling in for auths from a provider setting
- Knowledge of utilization management principles and managed care.
- Must be comfortable with computers and with learning software programs
Hours for this Position:
M-F 8-5:30
Advantages of this Opportunity:
- Competitive salary ($64-78K) plus annual bonus
- Fun and positive work environment
- Room for growth
- Medical benefits 1st of the month after hire
- 401k Matching
Interested in being considered?
If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.
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