2 days ago Be among the first 25 applicants
Networks Connect Healthcare Staffing provided pay range This range is provided by Networks Connect Healthcare Staffing. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $50,000.00/yr - $65,000.00/yr
Direct message the job poster from Networks Connect Healthcare Staffing
Business Account Manager @ Networks Connect | Strategic Staffing Solutions Expert About the Opportunity
Networks Connect is conducting a search on behalf of our client, a prominent healthcare system , for a detail-oriented and mission-driven Prior Authorization Coordinator . This is an exciting opportunity to join a leading patient access team and play a key role in facilitating timely, barrier-free access to healthcare services.
In this role, you will help patients navigate complex insurance authorizations, eliminate financial roadblocks, and ensure all necessary clearances are in place before care is delivered. You'll collaborate with physicians, payors, and patients serving as a critical bridge between clinical and financial operations.
Key Responsibilities
Insurance & Authorization Management
Obtain, review, and submit prior authorizations and referrals before services are rendered
Resolve coordination of benefits (COB) issues to prevent claim denials or delays
Partner with referring physicians, payors, and internal departments to verify coverage and secure required approvals
Use systems like Cerner, Experian, or payer portals to manage verification workflows
Contact patients to confirm insurance information and communicate coverage details
Educate patients on their financial responsibility, co-pays, deductibles, and in/out-of-network impacts
Act as a liaison between patients, care teams, and legal/financial teams to remove custodial and logistical barriers
Identify and refer patients who need payment assistance or financial counseling
Documentation & Workflow Optimization
Ensure accurate, timely entry of payor data, pre-authorizations, and benefit verifications in EMRs
Review clinical documentation to minimize peer-to-peer review needs and streamline care access
Collaborate with Nurse Navigators to proactively resolve delays in treatment scheduling
Participate in team efforts to meet departmental productivity, quality, and service benchmarks
Qualifications
Education:
Required: High School Diploma or GED
Experience:
Required: 2+ years of experience in healthcare access, billing, insurance verification, or claims processing
Strong knowledge of insurance terminology, government and commercial payor guidelines
Preferred:
Experience with EMR systems such as Cerner or Experian
Bilingual abilities are a plus
Skills & Attributes
Excellent verbal communication and professional phone presence
Ability to multitask and remain detail-oriented in high-volume settings
Strong problem-solving skills and the ability to work independently or in a team
Understanding of HIPAA and confidentiality best practices
Why This Role Stands Out
This is more than just an insurance coordination job it’s a patient-centered access role where your work directly influences how quickly and easily patients receive the care they need. If you're driven by purpose, skilled in payor communications, and passionate about healthcare operations, this is your next great opportunity.
Apply Now
If you’re ready to be the reason someone receives care on time with confidence and clarity we encourage you to apply today.
Job Type: Full-time
Pay: $50,000.00 - $65,000.00 per year
401(k)
401(k) matching
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Parental leave
Vision insurance
Wellness program
Seniority level Seniority level Associate
Employment type Employment type Full-time
Job function Job function Customer Service and Finance
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Networks Connect Healthcare Staffing by 2x
Inferred from the description for this job Medical insurance
Vision insurance
401(k)
Paid maternity leave
Paid paternity leave
Disability insurance
Get notified when a new job is posted.
Sign in to set job alerts for “Health Insurance Specialist” roles. Washington, DC $55,000.00-$75,000.00 2 days ago
Assistant Studio Manager, Washington D.C. Tysons Corner, VA $33.00-$35.00 5 days ago
Washington, DC $50,000.00-$54,000.00 4 days ago
Washington, DC $69,000.00-$75,000.00 5 days ago
Washington, DC $60,000.00-$70,000.00 1 month ago
Rockville, MD $60,000.00-$70,000.00 2 days ago
Executive Assistant - $33/hr-$37/hr - Washington, DC McLean, VA $70,000.00-$85,000.00 5 days ago
Washington, DC $75,000.00-$85,000.00 3 days ago
Silver Spring, MD $17.15-$20.15 1 week ago
Washington, DC $69,000.00-$75,000.00 2 weeks ago
Communications and Operations Project Coordinator Executive Assistant/Office Manager - up to $75K - DC Washington, DC $70,000.00-$75,000.00 3 days ago
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.