Healthcare Authorization Specialist

Apex Systems; Vancouver (WA); On-site; USD 55,000 - 75,000; Full time

Job summary

Everforth Apex is seeking a Healthcare Authorization Specialist to coordinate patient referrals and secure insurance pre-authorizations on-site in Vancouver, Washington. The role supports clinicians, payers, and patients while ensuring accurate documentation and adherence to guidelines.

The ideal candidate has at least three years of insurance workflow experience in healthcare, and proficiency with Epic EHR, MS Office, and Horizon Home Care systems.

Qualifications

• Graduation from an accredited healthcare training program or school is preferred.
• Minimum of three years of experience working with insurance processes within a medical or related healthcare field.
• Proficient with Epic electronic health record software, MS Office applications, and Horizon Home Care systems.

Responsibilities

• Oversee the accurate data entry and completion of referral forms and notifications.
• Obtain insurance pre-authorizations and required re-authorizations for additional treatment episodes.
• Ensure compliance with all insurance carrier documentation requirements, including Medicare guidelines.
• File all referral support documentation securely within the patient medical record.
• Manage professional correspondence with patients, physicians, specialists, and insurance companies.
• Document clinical and administrative information accurately on referral forms and electronic health systems.
• Coordinate with billing personnel and third-party payers to verify coverage and facilitate care.
• Verify that practitioners follow standardized evidence-based guidelines for patient treatment.

Skills

Epic EHR

MS Office

Horizon Home Care

Education

Graduation from an accredited healthcare training program

Tools

Epic EHR

Job description

Job#: 3058794

Job Description:

Healthcare Authorization Specialist (Contract-To-Perm)

Location: Vancouver, Washington (On-site)

Role Overview

The Healthcare Authorization Specialist coordinates the patient referral process and secures insurance pre-authorizations to facilitate optimal care. This position collaborates with clinical staff, insurance providers, and patients to manage documentation, compliance, and utilization. The successful candidate streamlines communication and provides administrative support to maintain high service standards.

Key Responsibilities

• Oversee the accurate data entry and completion of referral forms and notifications.
• Obtain insurance pre-authorizations and required re-authorizations for additional treatment episodes.
• Ensure compliance with all insurance carrier documentation requirements, including Medicare guidelines.
• File all referral support documentation securely within the patient medical record.
• Manage professional correspondence with patients, physicians, specialists, and insurance companies.
• Document clinical and administrative information accurately on referral forms and electronic health systems.
• Coordinate with billing personnel and third-party payers to verify coverage and facilitate care.
• Verify that practitioners follow standardized evidence-based guidelines for patient treatment.

Required Qualifications

Education: Graduation from an accredited healthcare training program or school is preferred.

Experience: Minimum of three years of experience working with insurance processes within a medical or related healthcare field.

Technical Skills: Proficient with Epic electronic health record software, MS Office applications, and Horizon Home Care systems. Demonstrated knowledge of insurance referral and prior authorization requirements for various therapies, procedures, and diagnostic testing.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.

© 2026 Everforth, Inc. All rights reserved.

Everforth Apex Systems is part of the Commercial Segment of Everforth, Inc.

NYSE: EFOR

4400 Cox Road

Suite 200

Glen Allen, Virginia 23060

Everforth Apex is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other character...