Top 57 Prior authorization specialist Jobs in Washington State

Business Office & Medical Billing Specialist
Emerald Communities: Corporate —Redmond, WA
- $33 - $35 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Free parking
- AD&D insurance
Quick Apply
1d
Authorization & Benefits Specialist
Proliance Surgeons, Inc. —Renton, WA
- $21.57 - $31.95 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Paid time off
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13d
Authorization and Benefits Specialist
Proliance Surgeons, Inc. —Issaquah, WA
- $19.97 - $31.95 an hour
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Paid time off
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Medical Authorization Specialist (MAS3/CQCT)
Washington State Health Care Authority —Olympia, WA
- $48,048 - $64,512 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Free parking
- Paid training
1d
Authorization & Referral Specialist
COMPREHENSIVE HEALTHCARE —Yakima, WA
- $21.25 - $31.88 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Continuous improvement
- Paid holidays
- Disability insurance
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Insurance Prior Authorizations Specialist
Sound Retina PS —Tacoma, WA
- $23.00 - $32.94 an hour
- Full-time
- Research
- Mid-level
- High school diploma or GED
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Insurance Eligibility & Follow-Up Specialist (Remote)
GetixHealth —Tacoma, WA
- $16 - $20 an hour
- Overtime
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- AD&D insurance
- Disability insurance
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Insurance Authorization Specialist
Skagit Regional Health —Mount Vernon, WA
- $24.91 - $36.14 an hour
- Overtime
- Anatomy knowledge
- Microsoft Outlook
- Mid-level
- Disability insurance
- Health insurance
6d
Medical Authorization Specialist (MAS3/CQCT)
State of Washington Health Care Authority —Olympia, WA
- $48,048 - $64,512 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Free parking
- Flexible schedule
1d
Intake Specialist (In-Office if Local / Remote if Non-Local)
UNITED WOUND HEALING PS —Puyallup, WA
- $19 - $23 an hour
- Overtime
- Microsoft Outlook
- Pass drug screening
- HIPAA
- AD&D insurance
- Paid holidays
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Insurance Authorization Specialist Lead
Skagit Regional Health —Mount Vernon, WA
- $26.91 - $38.14 an hour
- Overtime
- Anatomy knowledge
- Mid-level
- Office
- Disability insurance
- Health insurance
6d
Referral Coordinator
HealthPoint —Renton, WA
- $22.50 - $30.84 an hour
- Microsoft Word
- Microsoft Outlook
- Computer literacy
- Wellness program
- Health savings account
Quick Apply
6d
Medical Billing & Insurance Specialist (Revenue Cycle)
NestEd Center for Development —Olympia, WA
- $30 - $45 an hour
- Part-time
- Hybrid work
- Mid-level
- Office
- Children
- Flexible schedule
Quick Apply
5d
Administrative Assistant 3 or 4
Walla Walla Community College —Walla Walla, WA
- $4,004 - $72,900 a month
- Online Application
- Background check
- High school
- Adults
- Disability insurance
- Health insurance
1d
PFS Representative Patient Referrals
WhidbeyHealth —Coupeville, WA
- 8 hour shift
- Hospital
- Mid-level
- High school diploma or GED
Quick Apply
Referral Coordinator
Snoqualmie Valley Health —Snoqualmie, WA
- Extended hours
- Computer literacy
- Writing skills
- Medical office experience
- AD&D insurance
- Health insurance
Quick Apply
Scheduling and Intake Coordinator
NOVA Neuro Network —Kirkland, WA
- $25 - $28 an hour
- Full-time
- Google Workspace
- HIPAA
- Mid-level
Quick Apply
Pharmacy Technician Billing Specialist - TLT/SDA
King County —King County, WA
- $29.96 - $37.97 an hour
- Weekends as needed
- Hybrid work
- Background check
- Basic math
- Office
- Prescription drug insurance
9d
Customer Service Representative
QUIPT HOME MEDICAL INC —Auburn, WA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Insurance Verification and Eligibility Specialist
Olympic Sports & Spine —Tacoma, WA
- $20.00 - $31.81 an hour
- Full-time
- Customer service
- Mid-level
- Office
- AD&D insurance
- Disability insurance
Quick Apply
5d

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Business Office & Medical Billing Specialist

Emerald Communities: Corporate -
Redmond, WA

Quick Apply

Job Details

Full-time
$33 - $35 an hour
1 day ago

Benefits

Free parking
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Employee discount
403(b)
Life insurance

Qualifications

Medical office management
Interpersonal skills
Employee relationship building
Administrative experience
High school diploma or GED
Attention to detail
Office experience

Full Job Description

Emerald Communities is a mission-focused, not-for-profit organization that provides leadership for its affiliate organizations to create and enhance lifestyle opportunities for Seniors. Our Life Plan Communities include Emerald Heights in Redmond, WA, and Heron’s Key in Gig Harbor, WA. These communities are home to over 750 residents who experience exceptional environments and care where community members thrive.

We are seeking a highly organized and detail-oriented Business Office & Medical Billing Specialist to ensure efficient, accurate, and timely billing and financial operations. The ideal candidate is a self-starter with a process-driven mindset, strong attention to detail, and a passion for continuous improvement. They are technically savvy, resourceful, and able to work both independently and collaboratively. This role requires excellent communication skills and the ability to build positive relationships while effectively communicating with individuals at all levels of the organization. The ideal candidate thrives in a fast-paced environment, takes ownership of their work, and is committed to operational excellence.

We offer:
100% paid medical, dental and vision, employer paid life insurance and AD&D for employees working 30+ hours/week (Option to buy-up if desired). In addition, we offer a Flexible Spending account for medical and childcare reimbursements with a $500.00 rollover feature (No Rollover on childcare) AND the option to purchase Long Term disability insurance. Eligibility begins the first of the month following 30 days of employment. Employees are able to enroll in our company’s 403(B) plan (Eligibility on 403b – 20+ hours per week) – We match 50 cents for every dollar saved up to 10% of your annual salary. Matching begins the first of the quarter following 1 year of employment. Full-time employees are eligible to accrue up to 16 paid time off days, 6 paid holidays and 3 personal days. Pro-rated paid time off is available to part-time employees.

In Addition, we offer:
Tuition reimbursement
Employee Discount Program
Employee Assistant Program (EAP) through Wellspring Family Services
Gym/Pool
Free Parking
Free meal
Beautiful walking paths around the community

Wage: $33–$35/hour, depending on experience
Hours: Monday–Friday, general business hours

Primary Responsibilities: Billing & Revenue Cycle Management

Manage full-cycle billing and collections for Medicare Part A and Part B, Medicaid, HMOs, commercial, hospice, and private pay.
Access the Medicare Common Working File (CWF) to verify eligibility, benefit days, and spell-of-illness.
Submit timely, coded claims to primary and secondary payers and aggressively appeal denials.
Coordinate the month-end "Triple Check" process with clinical and billing teams.
Process payments, post line items, and adjust transfers of responsibility.

Managed Care & Authorizations

Secure prior authorizations from managed care plans before or upon admission.
Submit clinical updates to insurance case managers to secure re-authorizations and prevent gaps.
Monitor approved dates, levels of care, and exclusions; communicate parameters to clinical and therapy teams.
Participate in daily and weekly interdisciplinary team meetings to monitor the progress of patients.
Oversee the timely execution, documentation, and retention of SNF ABNs for residents exhausting or terminating skilled care benefits and provide financial liability information to patients after skilled services terminate.

Financial & Administrative Operations

Complete daily, weekly, and monthly census reconciliations in coordination with the Health Information Department.
Verify insurance benefits for new admissions and serve as the primary external liaison.
Work with Accounts Receivable to process and manage Long-Term Care Insurance claims.
Route vendor invoices, manage office supplies, and support on-site payroll/HR workflows.

EDUCATION & EXPERIENCE:

2–3 years of experience in medical billing and business office operations.
High School Diploma required; Associate's or Bachelor's degree in Healthcare Administration preferred.

KNOWLEDGE, SKILLS & ABILITIES:

Proficient with Matrix 360 (preferred) and MS Office.
Expert understanding of CMS guidelines, Medicare, Medicaid, and managed care rules.
High attention to detail, strong organization, and strict HIPAA compliance.
Ability to manage across multiple campuses and work seamlessly with finance and healthcare teams.

All Emerald Communities employees must pass a criminal background check and other pre-employment requirements. We are an E-Verify employer.

Emerald Communities is an equal opportunity employer.

Pay: $33.00 - $35.00 per hour

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in washington state

Business Office & Medical Billing Specialist

Authorization & Benefits Specialist

Authorization and Benefits Specialist

Medical Authorization Specialist (MAS3/CQCT)

Authorization & Referral Specialist

Insurance Prior Authorizations Specialist

Insurance Eligibility & Follow-Up Specialist (Remote)

Insurance Authorization Specialist

Medical Authorization Specialist (MAS3/CQCT)

Intake Specialist (In-Office if Local / Remote if Non-Local)

Insurance Authorization Specialist Lead

Referral Coordinator

Medical Billing & Insurance Specialist (Revenue Cycle)

Administrative Assistant 3 or 4

PFS Representative Patient Referrals

Referral Coordinator

Scheduling and Intake Coordinator

Pharmacy Technician Billing Specialist - TLT/SDA

Customer Service Representative

Insurance Verification and Eligibility Specialist

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