Top 44 Prior authorization specialist Jobs in Gaithersburg, Md

Billing Support Specialist I
GeneDx —Gaithersburg, MD
- $23.50 - $25.50 an hour
- Bilingual
- Writing skills
- Office
13d
Insurance Verification & Authorization Specialist
The Centers for Advanced Orthopaedics LL —Columbia, MD
- Medical office experience
- English
- Mid-level
Quick Apply
Pre-Registration Specialist, Per Diem
Samaritan —Washington, DC
- $21.10 - $26.26 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
Quick Apply
Patient Access Representative – Notification of Admission
Guidehouse Managed Services LLC —Washington, DC
- $35,000 - $58,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health savings account
- Paid holidays
7d
Authorization & Verification Specialist - Acute Team
ContinuumRx —Chantilly, VA
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
Referral and Authorization Specialist - Practice Support
Frederick Health —Frederick, MD
- $17.51 - $22.66 an hour
- Overtime
- Microsoft Outlook
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
7d
Payor Clearance Specialist
Children's National Hospital —Silver Spring, MD
- $48,672 - $81,120 a year
- Full-time
- Bilingual
- Mid-level
- 3 years
- Commuter assistance
- AD&D insurance
Scheduler & Authorization Specialist
The Centers for Advanced Orthopaedics LL —Chevy Chase, MD
- $21 an hour
- English
- Mid-level
- High school diploma or GED
Quick Apply
Insurance Authorization Specialist
VSI —Reston, VA
- From $23 an hour
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Paid time off
- 401(k) matching
Quick Apply
Front Office Coordinator - Silver Spring (Aspen Hill), MD
Pivot Physical Therapy —Silver Spring, MD
- $17.65 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
4d
Registration Coordinator
OrthoVirginia Inc —Reston, VA
- $19.46 - $29.19 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
Quick Apply
Revenue Cycle Denial Specialist
United Theranostics —Bethesda, MD
- $27 - $30 an hour
- Full-time
- Writing skills
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
8h
Administrative Security Specialist (TS)
Koniag Government Services —Washington, DC
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Office Management Specialist
Social Impact —Washington, DC
- Full-time
- Microsoft Excel
- Microsoft Outlook
- English
- Travel reimbursement
PDN Home Health Authorization Specialist
COMFORT HOME HEALTH LLC —Falls Church, VA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Spanish
- HIPAA
- English
- Health insurance
- 401(k)
Quick Apply
7d
Deployment Strategist - Palantir Foundry
Accenture Federal Services —Washington, DC
- $126,300 - $243,100 a year
- Mid-level
- Analysis skills
- Travel
Surgical Coordinator - Hybrid
Pelvic Rehabilitation Medicine —Falls Church, VA
- $24 - $28 an hour
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
Medical Front Desk Specialist
Northern Virginia Eye —Fairfax, VA
- Part-time
- High school diploma or GED
- Organizational skills
- In-person
Quick Apply
Benefits & Auth for Physical Therapy
RSI-Rehabilitation Services, Inc. —Laurel, MD
- $23 - $29 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Intake/Staffing Coordinator
Prospect Homecare Agency —Fairfax, VA
- From $65,000 a year
- 8 hour shift
- Background check
- Customer service
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
6d

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Billing Support Specialist I

GeneDx -
Gaithersburg, MD

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Job Details

$23.50 - $25.50 an hour
13 days ago

Qualifications

High school diploma or GED

Full Job Description

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest rare disease data sets. For more information, please visit www.genedx.com.

Summary

This is an on-site position in Gaithersburg, MD, and the available shifts are 10:30am - 7:00pm EST and 11:00am - 7:30pm EST

The Billing Support Specialist I is an entry-level position responsible for providing outstanding customer service to patients and healthcare providers regarding billing inquiries. This role supports the billing team by managing client and patient questions, resolving payment issues, and ensuring accurate data entry. The ideal candidate is detail-oriented, eager to learn, and passionate about helping others in a healthcare setting.

Job Responsibilities

Respond to patient and provider billing inquiries via phone and email, ensuring prompt and professional service.
Participate in a rotational schedule, alternating between managing inbound calls and handling emails, tickets, outbound calls, and problem resolution.
Enter and maintain accurate patient information in billing systems.
Review and process forms, including medical hold forms and faxes, and manage inbound/outbound queues.
Investigate and resolve basic billing discrepancies, process payments, refunds, and adjustments.
Maintain detailed records of customer interactions and transactions.
Collaborate with finance and customer service teams to support seamless billing operations.
Educate clients on general billing-related issues as needed.
Contact clients and insurance companies to obtain information for prior authorization and claim submission.
Navigate various payor types, including commercial/private payors, Medicare, and Medicaid.
Identify opportunities for process improvements and contribute ideas to enhance billing procedures.

People Manager

Education, Experience, and Skills

High school diploma or equivalent required; associate degree in a related field preferred.
Basic knowledge of medical terminology (training provided).
Strong data entry skills with attention to detail and accuracy.
Excellent phone etiquette and interpersonal skills.
Ability to communicate clearly and effectively, both verbally and in writing.
Passion for providing excellent customer service in the healthcare industry.
Ability to multitask in a fast-paced environment.
Calm and professional approach to stressful or difficult situations.
Proficiency in Microsoft Office; experience with billing software (Xifin, Careviso) and Salesforce is a plus.
Ability to work independently and as part of a team.
High level of empathy and customer service orientation.

Preferred:

1 year of experience in a billing, customer support, or healthcare setting is a plus.
Bilingual skills are a plus.

Certificates, Licenses, Registrations

None

Work Environment

This is a fully onsite position. The employee will work from our office location in Gaithersburg, MD, five days per week. Work is performed in a professional office setting with standard lighting, temperature control, and low to moderate noise levels. Standard office equipment, including a computer, phone, and video conferencing tools are used. Your standard work schedule and hours will be established in collaboration with your leader and may be adjusted to align with evolving business needs.

Physical Demands

This is a sedentary role with physical demands, including:

Sitting for extended periods (up to 8 hours per day)
Repetitive use of hands and fingers for typing and mouse operation
Visual acuity for reading computer screens and documents
Ability to communicate effectively in person, by phone, and via video
Occasional standing, walking, and reaching for files or supplies
Occasional lifting of up to 15 pounds (files, office supplies, equipment)
Ability to commute to the office location as required

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

A culture that plays to win, because patients are counting on us

At GeneDx, we're driven by urgency and purpose: helping patients get diagnosed earlier. Our mission, to empower everyone to live their healthiest life through genomics, drives our team to make a tangible impact each day – and shapes our culture where high standards, strong teamwork, and meaningful ownership are the norm. We act with intention, support one another, and deliver work we're proud to put our names on.

Here's what you can expect day to day:

1. Play like a champion (step up, redefine what's possible, own it)

We bring energy, focus, and a bias for action. We step up, take initiative, and deliver on our commitments – with quality, speed, and care.

2. Think bigger (stretch beyond, courage not consensus)

We push past the obvious. We challenge assumptions, raise the bar, and make thoughtful, decisive calls — choosing progress over perfection.

3. Grow fast (be curious, speak up, be agile)

We stay curious, ask questions, and share direct feedback with respect. We adapt quickly and keep learning through collaboration and continuous improvement.

If you're motivated by meaningful work, a fast-moving environment, and teammates who care deeply about outcomes, you'll thrive at GeneDx.

At GeneDx, we believe in taking care of our people. We provide competitive compensation and benefits that reflect local market practices and legal requirements in each country where we operate, helping employees thrive both professionally and personally.

We welcome everyone regardless of their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability, age, and other characteristics protected by law.

GeneDx is a place where people from all backgrounds can make an impact.

All privacy policy information can be found here.

Apply Now

Refine Your Search

prior authorization specialist jobs in gaithersburg, md

Billing Support Specialist I

Insurance Verification & Authorization Specialist

Pre-Registration Specialist, Per Diem

Patient Access Representative – Notification of Admission

Authorization & Verification Specialist - Acute Team

Referral and Authorization Specialist - Practice Support

Payor Clearance Specialist

Scheduler & Authorization Specialist

Insurance Authorization Specialist

Front Office Coordinator - Silver Spring (Aspen Hill), MD

Registration Coordinator

Revenue Cycle Denial Specialist

Administrative Security Specialist (TS)

Office Management Specialist

PDN Home Health Authorization Specialist

Deployment Strategist - Palantir Foundry

Surgical Coordinator - Hybrid

Medical Front Desk Specialist

Benefits & Auth for Physical Therapy

Intake/Staffing Coordinator

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