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Authorization Manager Jobs in Raleigh, NC (NOW HIRING)

Authorization Specialist

Raleigh, NC ยท On-site +1

$17.50 - $23.25/hr

Reporting to the Manager, Revenue Cycle Operations, this role partners with Licensed Board ... Authorization Submission & Coordination * Coordinate submission of initial authorizations and ...

Authorization Specialist

Raleigh, NC ยท Remote

$18.50 - $24.50/hr

Reporting to the Manager, Revenue Cycle Operations, this role partners with Licensed Board ... Authorization Submission & Coordination * Coordinate submission of initial authorizations and ...

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Authorization Manager information

See Raleigh, NC salary details

$30.6K

$81.2K

$145.8K

How much do authorization manager jobs pay per year?

As of May 30, 2026, the average yearly pay for authorization manager in Raleigh, NC is $81,151.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,400.00 and $100,100.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Authorization Manager, and why are they important?

To thrive as an Authorization Manager, you need expertise in healthcare regulations, insurance processes, and prior authorization procedures, usually supported by a degree in healthcare administration or a related field. Familiarity with medical billing software, electronic health records (EHRs), and insurance verification systems is essential. Strong organizational skills, attention to detail, and effective communication abilities set top performers apart in this role. These skills ensure accurate and timely approvals, minimize claim denials, and maintain smooth administrative operations in healthcare organizations.

How does an Authorization Manager typically collaborate with other departments to ensure efficient access control processes?

As an Authorization Manager, you will regularly partner with IT, HR, and compliance teams to develop and maintain access control policies. This collaboration ensures that only authorized personnel have access to sensitive systems and data, aligning with organizational security standards. You may also participate in cross-functional meetings to review user access requests and support audits, making strong communication and stakeholder management skills essential for the role.

What does an Authorization Manager do?

An Authorization Manager is responsible for overseeing and managing the process of granting access or permissions to information systems, data, or resources within an organization. They ensure that only authorized individuals have access to sensitive information, often by implementing and maintaining access control policies. Their duties may include reviewing access requests, monitoring compliance with security policies, and coordinating with IT and security teams. Authorization Managers play a key role in protecting an organization's data and ensuring regulatory requirements are met.

What is the difference between Authorization Manager vs Credentialing Specialist?

AspectAuthorization ManagerCredentialing Specialist
Required CredentialsBachelor's degree, healthcare administration or related certificationsHealthcare-related certifications, licensing, and credentials
Work EnvironmentHealthcare organizations, insurance companies, hospitalsHospitals, clinics, healthcare networks
Employer & Industry UsageUsed in healthcare management to oversee authorization processesUsed to verify provider credentials and maintain compliance
Common Search & ComparisonOften compared for roles involving patient access and insurance approvalsCompared for roles focused on provider credentialing and compliance

The Authorization Manager primarily oversees the approval process for patient services and insurance claims, ensuring compliance and efficiency. In contrast, the Credentialing Specialist focuses on verifying healthcare providers' credentials and maintaining licensing standards. Both roles are essential in healthcare operations but serve different functions related to authorization and credential verification.

What job categories do people searching Authorization Manager jobs in Raleigh, NC look for? The top searched job categories for Authorization Manager jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Authorization Manager jobs? Cities near Raleigh, NC with the most Authorization Manager job openings:
Infographic showing various Authorization Manager job openings in Raleigh, NC as of May 2026, with employment types broken down into 100% Full Time. Highlights an 91% In-person, 3% Hybrid, and 6% Remote job distribution, with an average salary of $81,151 per year, or $39 per hour.

Authorization Specialist

Kind Behavioral Health

Raleigh, NC โ€ข On-site, Remote

$17.50 - $23.25/hr

Full-time

Posted 9 days ago


Kind Behavioral Health rating

5.7

Company rating: 5.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz


Job description

Kind Behavioral Health is a leading provider of Applied Behavior Analysis services in North Carolina and Georgia, dedicated to improving the lives of children with autism spectrum disorder ("ASD"). We provide life-changing treatment to children with ASD, providing outstanding quality care, and delivering exceptional clinical outcomes, in an environment in which all are encouraged to THINK BIG, HAVE FUN, DO GOOD, and BE KIND. We deliver treatment through individualized care plans, and target socially significant behaviors, enabling the clients we serve to lead more independent, fulfilling lives.
The Authorizations Specialist supports the timely access to medically necessary services by coordinating and managing authorization processes across contracted commercial and government (Medicaid/Tricare) payors. Reporting to the Manager, Revenue Cycle Operations, this role partners with Licensed Board Certified Behavior Analysts (BCBAs), Licensed Psychologist, Licensed Psychological Associates, third-party vendors, and internal revenue cycle team members to ensure accurate submission, tracking, and follow through on authorization requirements.
This role serves as an operational resource that helps translate payor requirements into clear, actionable guidance, supports appeals processes, and assists in minimizing service disruptions by proactively monitoring authorization timelines. The position contributes to revenue integrity and continuity of care while advocating for medically necessary services on behalf of the clients and families we serve
Role Responsibilities
Clinician Partnership & Insurance Support:
  • Serve as a resource to clinicians regarding payor-specific requirements, timelines, and documentation expectations.
  • Provide structured guidance and tools to support accurate authorization submissions.
  • Communicate upcoming authorization expirations, authorization requirements and help clinicians navigate the authorizations process.
  • Assist clinicians in understanding authorization determinations, including denials, and appeal processes.
  • Translate insurance requirements into clear, practical guidance for clinical teams.

Authorization Submission & Coordination
  • Coordinate submission of initial authorizations and reauthorizations through designated authorization platforms.
  • Review submitted documentation for completeness and alignment with payor requirements prior to submission.
  • Track authorization requests from submission through determination.
  • Follow up with payors as needed to obtain updates or clarify requirements.
  • Enter authorization details into practice management systems accurately and timely.
  • Maintain organized and audit-ready records of authorization activity

Re-Authorization Monitoring & Revenue Support
  • Monitor authorization expiration timelines and assist in coordinating timely re-submissions.
  • Escalate potential risks related to authorization delays or lapses to the Manager, Revenue Cycle Operations or appropriate stakeholders.
  • Collaborate with intake, scheduling, and billing teams to support alignment between authorizations and service delivery.
  • Support efforts to minimize preventable authorization related service disruptions or billing challenges.

Payor Navigation & Appeals Support
  • Maintain working knowledge of commercial and government payor policies and authorization processes.
  • Assist with preparation and submission of appeals for partial or full denials under direction of leadership or clinical partners.
  • Communicate professionally with payor representatives and utilization management teams.
  • Support advocacy efforts aligned with clinical recommendations and organizational standards

Process Support & Cross-Functional Collaboration
  • Identify recurring challenges within authorization workflows and communicate opportunities for improvement to leadership.
  • Maintain internal documentation related to authorization processes and payor requirements.
  • Participate in tracking and reporting activities related to authorization timeliness and outcomes.

Role Requirements:
  • High school diploma AND 2+ years experience supporting healthcare insurance authorizations, utilization management workflows, revenue cycle operations, or related roles such as intake coordination, utilization review support, medical billing/AR follow-up, or therapy service authorization coordination - OR
  • Bachelor's degree in Healthcare Administration, Business, Behavioral Health, or related field AND 1+ years foundational experience in healthcare operations, insurance authorization processes, or payor interaction.
  • Strong organizational skills with the ability to manage multiple deadlines and track complex workflow - required
  • Effective written and verbal communication skills; ability to translate complex payor requirements into practical guidance - required.
  • Experience coordinating healthcare authorization submissions or tracking authorization workflows - required.
  • Experience working with commercial and/or government payors (Medicaid, Tricare, commercial insurers) - required.
  • Proficiency in Microsoft Office Suite (Excel, Word, Outlook) - required.
  • Experience using collaboration tools such as SharePoint, OneDrive, and Microsoft Teams - required.
  • Experience supporting ABA services, behavioral health programs, or therapy-based authorization workflows - preferred.
  • Experience interpreting payor policies or authorization criteria - preferred.
  • Experience with practice management systems (e.g., CentralReach) - preferred.
  • Experience supporting authorization appeals or denial follow-up - preferred

KBH is committed to creating a diverse environment and we are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Diversity is more than a commitment at KBH- it is the foundation of what we do, adhering to the highest professional standards while creating an environment in which exceptional people (like you!) can think big, have fun, do good, and be kind.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.