Remote Prior Authorization Jobs in Washington, DC

Insurance Verification Coordinator

Location: Remote (Must reside in Maryland, Pennsylvania, Washington D.C., West Virginia, Virginia, Tennessee, Texas, North Carolina, South Carolina, Georgia, or Florida)

Pay: $17.50 - $26.00/hour

Work Environment

100% Remote position supporting hospital revenue cycle operations. Candidates must reside in an approved state. Training may range from one week to one month and will include Epic and payer portal systems.

Schedule

• Monday-Friday

• 9:00 AM - 5:30 PM

Compensation and Benefits

Pay Rate: $17.50 - $26.00/hour

Duration: 6-Month Contract-to-Hire

If eligible, benefits may include:

• Medical, Dental, Vision

• Critical Illness, Accident, and Hospital coverage

• 401(k) Retirement Plan (Pre-tax and Roth post-tax contributions available)

• Voluntary Life & AD&D (employee + dependents)

• Short-term and long-term disability

• Health Spending Account (HSA)

• Transportation benefits

• Employee Assistance Program (EAP)

• Time Off / Leave (PTO, Vacation or Sick Leave)

About the Role

The Insurance Verification Coordinator is responsible for obtaining insurance eligibility, benefits verification, prior authorizations, and pre-certifications for hospital services. This individual serves as a key liaison between patients, payers, providers, scheduling teams, and clinical staff to ensure timely approvals, accurate documentation, and denial prevention. The ideal candidate will have strong hospital-based insurance verification experience, knowledge of CPT and ICD-10 coding, and the ability to thrive in a fast-paced revenue cycle environment.

Key Responsibilities

• Verify insurance eligibility, benefits, and coverage information for scheduled services.

• Obtain prior authorizations and pre-certifications for inpatient, outpatient, elective, surgical, and urgent services.

• Communicate with insurance carriers through phone, fax, and payer portals.

• Document authorizations, copays, deductibles, coinsurance, out-of-pocket amounts, and patient financial responsibility.

• Partner with providers, scheduling teams, case management, utilization review, and clinical departments to secure required approvals.

• Notify patients and providers of coverage limitations, authorization issues, or terminated benefits.

• Research payer-specific authorization requirements and medical necessity criteria.

• Monitor team mailboxes, emails, faxes, and calls to ensure timely resolution of authorization-related requests.

• Conduct quality assurance reviews and maintain documentation accuracy.

• Escalate unresolved authorization concerns to leadership as needed.

• Meet productivity expectations of approximately 40-47 accounts per day while maintaining quality standards.

Required Skills & Experience

• 3+ years of insurance verification and prior authorization experience.

• Hospital revenue cycle, patient access, business office, or related healthcare experience.

• Knowledge of insurance benefits, eligibility verification, and authorization processes.

• Experience working with CPT and ICD-10 codes.

• Strong analytical, communication, and customer service skills.

• Proficiency with Microsoft Office and Outlook.

• Ability to manage multiple priorities while maintaining accuracy.

Top Skills – Must Haves:

• Hospital Experience

• Prior Authorization

• Insurance Verification

• Revenue Cycle Experience

• CPT Coding Knowledge

• ICD-10 Knowledge

• Customer Service

Nice-to-Have Skills:

• Epic Hospital Billing Experience

• Inpatient and Outpatient Authorization Experience

• Medical Billing Experience

• Healthcare Financial or Revenue Cycle Certifications (CRCR, CRCS, CHAA, CHAM, CRCP, CRCE, CHFP)

• Associate Degree in Healthcare, Business, Finance, Accounting, or related field

This is a Contract to Hire position based out of Annapolis, MD.

The pay range for this position is $17.50 - $26.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Aug 18, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.