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Prior Authorization Jobs in Renton, WA (NOW HIRING)

Walgreens

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 ...

Walgreens

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 ...

Sound Pain Alliance

Procedure Coordinator

Silverdale, WA · On-site

$21 - $25/hr

Obtain and manage prior authorizations, including submitting documentation and insurance follow-up * Communicate clearly and compassionately with patients and insurance carriers * Gather and review ...

Molina Healthcare

Care Review Clinician (RN)

Bothell, WA · On-site

$26.41 - $59.21/hr

Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...

Fred Hutchinson Cancer Center

Pharmacy Billing Technician

Seattle, WA · On-site

$20 - $24.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Pharmacy Prior Authorization Coordinator (Pharmacy Technician III) ensures that all authorizations/certifications for drug therapy are completed in accordance with payer criteria and policy, in a ...

Fred Hutchinson Cancer Center

Pharmacy Billing Technician

Seattle, WA · On-site

$20 - $24.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Pharmacy Prior Authorization Coordinator (Pharmacy Technician III) ensures that all authorizations/certifications for drug therapy are completed in accordance with payer criteria and policy, in a ...

Molina Healthcare

Care Review Clinician (RN)

Bothell, WA · On-site

$26.41 - $59.21/hr

Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...

CardioOne

Invasive and Non-Invasive Scheduler

Lynnwood, WA · On-site

$24 - $25/hr

  • Medical

  • Dental

  • Vision

Solid understanding of insurance verification, insurance registration workflows, and prior authorization requirements. * Liaise between patients, nurses, and cardiologists. * Coordinate appointments ...

CardioOne

Invasive and Non-Invasive Scheduler

Lynnwood, WA · On-site

$24 - $25/hr

  • Medical

  • Dental

  • Vision

Solid understanding of insurance verification, insurance registration workflows, and prior authorization requirements. * Liaise between patients, nurses, and cardiologists. * Coordinate appointments ...

MultiCare

Pre Authorization Specialist

Tacoma, WA · On-site

$20.27 - $29.16/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Pre-Authorization Specialist At MultiCare, you're more than just a job title -- you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means ...

MultiCare Health System

Pre Authorization Specialist

Tacoma, WA · On-site

$20.27 - $29.16/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Day Position Summary The Pre-Authorization Specialist is responsible for service authorization, ongoing updates and assisting with monitoring of authorization compliance for Medicare and Non-Medicare ...

MultiCare Health System

Pre Authorization Specialist

Tacoma, WA · On-site

$20.27 - $29.16/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Day Position Summary The Pre-Authorization Specialist is responsible for service authorization, ongoing updates and assisting with monitoring of authorization compliance for Medicare and Non-Medicare ...

Accenture

Health Provider Revenue Cycle Manager

Seattle, WA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...

Accenture

Health Provider Revenue Cycle Manager

Seattle, WA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...

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Showing results 21-40

All JobsPrior Authorization JobsPrior Authorization Jobs in Renton, WA

Prior Authorization information

See Renton, WA salary details

$15

$23

$36

How much do prior authorization jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for prior authorization in Renton, WA is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $25.96 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 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:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Renton, WA as of August 2026, with employment types broken down into 2% As Needed, 84% Full Time, 7% Part Time, 5% Contract, and 2% Summer. Highlights an 91% In-person, 4% Hybrid, and 5% Remote job distribution, with an average salary of $48,884 per year, or $23.5 per hour.

Specialty Billing Technician

Walgreens

Seattle, WA • On-site

$20.75 - $26.75/hr

Full-time

Re-posted 19 hours ago

Walgreens rating

5.5

Company rating: 5.5 out of 10

Based on 2,200 frontline employees who took The Breakroom Quiz

98th of 112 rated pharmacies

Job description

Responsible for the accurate billing and collection of third party and patient payments for products and services rendered.
Job Responsibilities (listed in order of importance and/or time spent)
  • Submit timely, accurate invoices to payer for products and services provided.
  • Correctly determine quantities and prices for products and services billed.
  • Verify services and products are correctly authorized and required documentation is on file.
  • Ensure all Medicare documentation is received from the medical provider and submitted to Danville.
  • Review reports to maximize generic substitution opportunities.
  • Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy.
  • Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing).
  • Process reimbursement checks/payment in accordance with policy.
  • Review price modify logs and ensure there are corresponding SDL (submit direct link) claims.
  • Review, research and resolve all third party chargebacks in a timely manner.
  • Assist with any third party audits, in accordance with company policy.
  • Process and file all SDL (submit direct link) claims in accordance with company policy.
  • Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities.
  • Responsible for proactive communication to patients and providers regarding referral/prescription status.
  • Responsible for maintaining a deep understanding of and assisting patients with assistance programs enrollment, such as Chronic Disease Fund, confirming patient eligibility and all required reporting and documentation.
  • Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians and third party payers.
  • Maintains subject matter expertise pertaining to all external billing practices including but not limited to third party adjudications, prior authorization, and patient financial assistance programs in order to coach pharmacy technicians and other support staff.

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