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Prior Authorization Jobs in Springfield, OR (NOW HIRING)

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$33

How much do prior authorization jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for prior authorization in Springfield, OR is $21.63, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $23.89 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 Springfield, OR?

The most popular types of Prior Authorization jobs in Springfield, OR are:

What job categories do people searching Prior Authorization jobs in Springfield, OR look for?

The top searched job categories for Prior Authorization jobs in Springfield, OR are:

What cities near Springfield, OR are hiring for Prior Authorization jobs?

Cities near Springfield, OR with the most Prior Authorization job openings:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Springfield, OR as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $44,982 per year, or $21.6 per hour.

Patient Access Representative - Admitting

PeaceHealth

Cottage Grove, OR • On-site

$23.16 - $31.26/hr

Full-time, Per diem

Retirement

Re-posted 2 days ago

PeaceHealth rating

7.7

Company rating: 7.7 out of 10

Based on 175 frontline employees who took The Breakroom Quiz

166th of 898 rated healthcare providers

Job description

PeaceHealth is seeking a Patient Access Representative - Admitting for a Per Diem/Relief, Variable position.
The salary range for this job opening at PeaceHealth is $23.16 - $31.26.
The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
Job Summary
Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services.
Details of the Position
  • Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart.
  • Collects patient balances, co-payment, co-insurance, or other payment types.
  • Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival.
  • Responds to customer's inquiries.
  • Assists with departmental coverage as needed.
  • Manages daily appointment schedules which may include reminder calls and calling all referrals.
  • May transport patients utilizing escort or wheeled transport equipment.
  • Performs other duties as assigned.

What you bring
  • High School Diploma Preferred: or equivalent
  • Minimum of 1 year Required: Medical office or related customer service experience
  • Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook

Skills
  • Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred)
  • Knowledge of insurance process and regulations. (Preferred)
  • Must be able to manage conflict effectively and professionally. (Required)
  • Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required)
  • Good customer service skills and good interpersonal skills. (Required)

Department / Location Specific Notes
Cottage Grove Medical Center:
  • Management of ED incoming phone calls, and may be required to provide switchboard coverage.
  • Monitor OB Prosec/McKinley alarm system.
  • May be required to assist with Cardiac Rehab departmental charge entry.

Working Conditions
  • Consistently operates computer and other office equipment.
  • Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
  • Sedentary work.
  • Predominantly operates in an office environment.
  • Ability to communicate and exchange accurate information.
  • The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

For additional information or questions, please email Jen Worthington at Jworthington@peacehealth.org or call 360-448-0542.
PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

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About PeaceHealth

Sourced by ZipRecruiter

PeaceHealth, based in Vancouver, WA, is a not-for-profit Catholic health system employing approximately 16,000 caregivers, a multi-specialty medical group practice with more than 1,200 providers and 10 medical centers serving both urban and rural communities in Washington, Oregon, Alaska. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, the legacy of its founding Sisters continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission. Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn! We offer competitive compensation, a robust benefitspackage and a collaborative, Mission-driven work environment! To learn more please visit: jobs.peacehealth.org. Questions? Review our Employment FAQor email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Vancouver, WA, US

Year founded

1890

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