Top 105 Authorization specialist Jobs in Washington Dc

Referral Authorization Specialist
Samaritan —Washington, DC
- $21.24 - $28.84 an hour
- Full-time
- Remote
- Heavy lifting
- HIPAA
- Mid-level
Quick Apply
Insurance Authorization Specialist/ Medical Assistant
Lifeline Vascular Care —Colmar Manor, MD
- $23 - $30 an hour
- Online Application
- Background check
- Mid-level
- Clinic
- Health savings account
- Paid holidays
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
Administrative Support Specialist
P3S CORPORATION —Washington, DC
- $65,000 - $80,000 a year
- Full-time
- Remote
- Microsoft Outlook
- Customer service
- Mid-level
Quick Apply
Medical Support Assistant (Advanced)
US Veterans Health Administration —Washington, DC
- $59,102 - $76,832 a year
- Online Application
- Background check
- Medical office experience
- Pass drug screening
22h
Management Support Specialist
Smithsonian Institution —Washington, DC
- $70,623 - $91,815 a year
- Online Application
- Pass drug screening
- Mid-level
- Office
- Flexible spending account
- Life insurance
12d
Insurance Verification & Authorization Specialist
The Centers for Advanced Orthopaedics LL —Columbia, MD
- Medical office experience
- English
- Mid-level
Quick Apply
Authorization & Verification Specialist - Acute Team
ContinuumRx —Chantilly, VA
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
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
Administrative Specialist I
Resilient Solutions Plus —Washington, DC
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Office Management Specialist
Guidehouse —Washington, DC
- $56,000 - $94,000 a year
- Microsoft Excel
- 5 years
- Office
- Health savings account
- Paid holidays
2d
Administrative Operations Specialist-Radiation Oncology
VHC Health —Arlington, VA
- Full-time
- Mid-level
- Administrative experience
- High school diploma or GED
- Health insurance
- Dental insurance
3d
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
Senior Executive Support Specialist
The G2 Consulting Group —Washington, DC
- $90,000 - $110,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Paid time off
Quick Apply
1d
Office Management Specialist
Integrated Business & Technical Consultants —Washington, DC
- $70,000 - $75,000 a year
- Online Application
- Travel
- Organizational skills
- Senior level
- Travel reimbursement
- Disability insurance
Quick Apply
Café Ambassador - Anacostia
Capital One —Washington, DC
- Weekends as needed
- Google Workspace
- High school diploma or GED
- Fair chance
- Paid parental leave
- Disability insurance
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
11d
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
Senior Project Support Specialist - NASA Headquarters
ASRC Federal —Washington, DC
- $99,748 - $149,689 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Paid holidays
- Health insurance
Quick Apply

I want to receive the latest job alert for authorization specialist in washington dc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

authorization specialist jobs near washington dc

Referral Authorization Specialist

Samaritan -
Washington, DC

Quick Apply

Job Details

Full-time
$21.24 - $28.84 an hour

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Our Mission

All of us, for each of you, every time.

Our Vision

Together, serving as the trusted regional healthcare partner.

Our Values

Listen~Love~Respect~Excel~Innovate

Samaritan is searching for a Referral & Authorization Specialist to join our team! The Referral & Authorization Specialist is responsible for coordinating and securing prior authorizations, managing outgoing referrals, and ensuring compliance with payer requirements to support timely patient care and optimal reimbursement. This role serves as a critical liaison between providers, patients, payers, and internal departments to reduce denials, prevent delays in care, and ensure accurate documentation.

This is a full-time remote position that will be required to come on-site for onboarding and equipment pick-up (2 DAYS ONLY). This is a full-time role working Monday-Friday from 8:00 AM – 4:30 PM PST.

ESSENTIAL FUNCTIONS

Prior Authorization Management

Obtain prior authorizations for hospital and clinic services, including but not limited to, outpatient procedures, imaging, surgeries, and other specialty services.

Identify the health plan(s) by confirming information provided and verifying eligibility and coverage.

Verify payer requirements for authorization, referral, and medical necessity requirements based on plan guidelines.

Submit complete and accurate authorization requests with appropriate clinical documentation.

Track authorization status and follow up with the payer at regular intervals to ensure timely approvals.

Escalate urgent or complex cases to avoid delays in patient care.

Document authorization numbers, effective dates, and limitations in the EMR.

Communicate authorization delays and denials to ordering providers and clinics.

Monitor authorization workqueues and ensure timely completion.

Referral Management

Coordinate with providers and clinics to ensure appropriate scheduling and continuity of care.

Process outgoing referrals for specialty care.

Ensure referrals meet payer and regulatory requirements (e.g., PCP referrals, network rules).

Monitor referral workqueues and ensure timely completion.

Denial Prevention & Revenue Cycle Support

Review payer policies to ensure compliance and minimize denials.

Partner with coding, billing, and clinical teams to resolve authorization-related denials.

Inform department professionals and/or providers when peer-to-peer review is necessary. Assist as needed.

Assist with retro authorization requests and appeals as needed.

Identify trends and recommend process improvements.

Communication & Assistance

Serve as the point of contact for patients regarding referral and authorization status.

Communicate clearly with providers, clinical staff, payers, and patients.

Educate patients on authorization and referral procedures and next steps.

Maintain ongoing tracking and documentation for prior authorizations and referrals to promote team awareness.

Ensure HIPAA compliance when sharing patient information with authorized care providers.

General

Participate in continuing education opportunities.

Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in the field of expertise.

Ensures no injuries to self or others by following safe work practices and policies. This includes, but is not limited to: security and safety, understanding of chemical Safety Data Sheets (SDS), equipment, infection control, fire, disaster, safe lifting and body mechanics.

Ensures self-compliance with organization policies and procedures, as well as labor agreements.

Ensures the interface with team members and other support groups is conducted in a courteous and efficient manner conducive to the organization's values.

Conducts self in a professional manner and ensures personal appearance meets the standards necessary to perform the job function while representing the organization.

Ensures that additional accountabilities, as may be required by management, be handled in a manner necessary to meet organizational standards.

WORK ENVIRONMENT

The professional in this position reports to the Director of Revenue Cycle. Professionals in this position will work closely with patients and other Samaritan professionals within various departments.

EDUCATION & EXPERIENCE

Education:
- High school diploma or equivalent required; Associate degree preferred.
Experience:
- Minimum of two (2) years of experience in healthcare referrals, prior authorizations, or revenue cycle required.
- Experience working in a healthcare setting providing multi-specialty support preferred.
- Certified Healthcare Access Associate (CHAA) or similar certification preferred.
- Experience with Medicare, Medicaid (including Washington Apple Health), and commercial payers.
- Understanding of medical necessity criteria and utilization management.
Skills/Competencies:
- Strong knowledge of insurance plans, payer requirements, and authorization requirements.
- Familiarity with CPT, IDC-10, and medical terminology.
- Experience with EMR systems (EPIC) and payer portals (e.g., Availity, OneHealthPort, payer websites)
- Excellent organizational and time management skills.
- Ability to manage high-volume workqueues with attention to detail.
- Effective communication and interpersonal skills.
- Demonstrates competency on equipment listed on department specific checklist.
- Strong critical thinking skills: seeks resources for direction, when necessary. Performs independent problem solving. Decision-making is logical and deliberate.
- Performs actions that demonstrate accountability. Exercises safe judgment in decision-making. Practices within legal and ethical guidelines.
- Demonstrates competency in ability to care for customers/patients across the age continuum.

PHYSICAL REQUIREMENTS

Occasional lifting, reaching, kneeling, bending, stooping, pushing and pulling.

Occasional heavy lifting (lift/carry up to 50 lbs.).

Manual dexterity and mobility.

Ability to read and understand patient charts, provider orders, tests results, etc.

Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public.

As a Samaritan professional, you will be asked to carry out the Mission, Vision, Values, and Strategy of Samaritan, personifying service and operational excellence including the creation and maintenance of the best patient, professional, physician, and student experience.

Experience

Required

2 year(s): Experience in healthcare referrals, prior authorizations, or revenue cycle

Preferred

Experience with Medicare, Medicaid (including Washington Apple Health), and commercial payers.
Experience working in a healthcare setting providing multi-specialty support

Education

Required

High School or better

Preferred

Associates or better

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

authorization specialist jobs in washington dc

Referral Authorization Specialist

Insurance Authorization Specialist/ Medical Assistant

Pre-Registration Specialist, Per Diem

Administrative Support Specialist

Medical Support Assistant (Advanced)

Management Support Specialist

Insurance Verification & Authorization Specialist

Authorization & Verification Specialist - Acute Team

Scheduler & Authorization Specialist

Administrative Specialist I

Office Management Specialist

Administrative Operations Specialist-Radiation Oncology

Payor Clearance Specialist

Senior Executive Support Specialist

Office Management Specialist

Café Ambassador - Anacostia

Insurance Authorization Specialist

Administrative Security Specialist (TS)

Office Management Specialist

Senior Project Support Specialist - NASA Headquarters

I want to receive the latest job alert for authorization specialist in washington dc

Related Searches

Explore jobs in more locations

Our Mission

Our Vision

Our Values

Experience

Education

Job Seeker Tools

Employer Tools

Browse

Stay Connected