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Prior Authorization Jobs in Renton, WA (NOW HIRING)

Conflux Systems

*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 ...

Walgreens

Specialty Billing Technician

Seattle, WA · On-site

$22.50 - $29.50/hr

Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities. * Responsible for ...

Evergreen Health

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · On-site

$28.83 - $46.14/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Description Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing ...

Addison Group

Patient Access Specialist - Burien, WA

Burien, WA · On-site

$17 - $24/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Insurance verification and/or prior authorization experience required * Associate degree or healthcare certification preferred Addison Group is an Equal Opportunity Employer. Addison Group provides ...

Addison Group

Patient Access Specialist

Tacoma, WA · On-site

$17 - $24/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Insurance verification and/or prior authorization experience required * Associate degree or healthcare certification preferred Addison Group is an Equal Opportunity Employer. Addison Group provides ...

Kaiser Permanente

Patient Access Representative

Seattle, WA · On-site

$19.75 - $25/hr

  • Medical

Perform general patient account management duties, such as obtain prior authorization for services, process items in the appropriate work queues to complete registration and enter service capture ...

CHPW

Utilization Management Coordinator I

Seattle, WA · On-site +1

$21 - $28.98/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs data entry for all referral, prior authorizations and hospital notifications; attaches and/or includes clinical documents as needed. * Utilizes knowledge to determine appropriate CPT, HCPC ...

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Showing results 41-60

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.

Authorization Specialist (Medical Insurance)

Olympic Sports & Spine

Tacoma, WA

$19.25 - $25.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago

Olympic Sports & Spine rating

7.4

Company rating: 7.4 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Medical Insurance Authorization Specialist

Olympic Sports & Spine (OSS) is seeking an experienced Medical Insurance Authorization Specialist to join our fastpaced and growing medical billing office. This is a full-time, in-office position.

Olympic Sports & Spine (OSS) is known for its fun, energetic work environment and for truly valuing our employees. We offer a comprehensive benefits package, including medical, dental, vision, paid vacation, sick time, 401(k), and more.

The schedule is Full-Time | In-Office | Monday–Friday, 8:00 a.m.–5:00 p.m.

Position Summary:

The Medical Insurance Authorization Specialist is responsible for processing all authorization activities for assigned clinic locations. This role requires exceptional timemanagement skills to ensure patients receive timely pre-authorizations. You will work closely with front office staff, therapists, and the billing team to support smooth patient care and clinic operations.

Key Responsibilities:

  • Review referrals for accuracy and completeness, and collaborate with therapists and office staff to obtain required medical documentation and ensure the plan of care aligns with diagnoses and referral details.
  • Monitor authorization status, conduct timely followups with insurance carriers, and maintain accurate authorization records with all updates documented and communicated appropriately.
  • Ensure authorizations are secured for the following day's patients or promptly notify office staff and therapists when authorizations cannot be obtained.
  • Manage all correspondence and enter detailed notes into the EMR system regarding interactions with insurance companies, patients, clinic staff, and billing personnel.
  • Follow established authorization workflows, policies, and procedures while maintaining strict HIPAA compliance in all processes.
  • Participate in educational opportunities and attend monthly staff meetings, performing additional duties as assigned.

Benefits:

We offer competitive pay and excellent benefits. Learn more about OSS Benefits & Rewards:

https://www.osstherapy.com/employee-benefits

Equal Opportunity Statement

We are an equal opportunity employer and value diversity at our company. We do not discriminate based on age, ancestry, citizenship, color, ethnicity, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or invisible disability status, political affiliation, veteran status, race, religion, or sexual orientation.

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