*New - Prior Authorization Specialist (Experienced)- Remote - WA State Area

Prior Authorization Specialist – Remote - WA State

Position Summary
We’re looking for a driven, detail‑oriented individual to join our team as a Prior Authorization Specialist. You’ll receive training and ongoing support to set you up for success, along with a performance bonus incentive for high achievers. As part of this role, you’ll complete accurate insurance verifications and prior authorizations to ensure timely reimbursement. You’ll also collaborate with clinicians and insurance payors in a fast‑paced environment to manage claims, documentation, and approvals. If you enjoy problem‑solving, staying organized, and making a meaningful impact—both independently and as part of a team—we’d love to hear from you.

Key Responsibilities

Proficient in Idaho and Washington Payor portals, along with others

Proficient in EPIC for demographic information, patient clinical notes, and referrals

Must be proficient in submission of prior authorization in EPIC

Communicate with providers and insurance companies regarding authorization status.

Maintain HIPAA compliance and support daily revenue cycle operations.

Skills & Qualifications 

5+ years of prior authorization experience -Required

Proficient EPIC

Strong communication, problem-solving, and organizational skills.

Detail-oriented, analytical, and able to multitask in a fast-paced environment.

Proficient in TEAMS

Education & Experience

High School Diploma required; additional education in business or healthcare preferred.

Experience in  prior authorization,  utilization  review,  insurance verification,  and  EMR systems.

Work Environment & Physical Requirements

Remote position

Prolonged computer use; ability to lift up to 15 lbs.

Reliable Internet

Job Type, Schedule & Compensation

Full-time, Monday–Friday, 8-hour day shift.

Pay: $21–$23 per hour,

Benefits:

Dental insurance

Health Insurance

Accrued Paid Time Off

Employee assistance program