Pre-Authorization Specialist
$18 - $22/hr
Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED Experience: Minimum of three years' experience in billing/pre-authorization or insurance ...
$18 - $22/hr
Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED Experience: Minimum of three years' experience in billing/pre-authorization or insurance ...
$18 - $22/hr
Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED Experience: Minimum of three years' experience in billing/pre-authorization or insurance ...
Austin, TX · On-site
$18 - $22/hr
Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED Experience: Minimum of three years' experience in billing/pre-authorization or insurance ...
Austin, TX · On-site
$18 - $22/hr
Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED Experience: Minimum of three years' experience in billing/pre-authorization or insurance ...
Denver, CO · On-site
$18 - $21/hr
This employee reports directly to the Authorization Manager, RCM. Duties/Responsibilities: * Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients ...
Denver, CO · On-site
$18 - $21/hr
This employee reports directly to the Authorization Manager, RCM. Duties/Responsibilities: * Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients ...
Denver, CO · On-site
$18 - $21/hr
This employee reports directly to the Authorization Manager, RCM. Duties/Responsibilities: * Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients ...
Denver, CO · On-site
$18 - $21/hr
This employee reports directly to the Authorization Manager, RCM. Duties/Responsibilities: * Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients ...
$35K - $40K/yr
This is not an entry-level or adjacent front-desk, billing, or insurance verification role; the successful candidate must be able to independently manage authorization queues, payer portals, clinical ...
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$35K - $40K/yr
This is not an entry-level or adjacent front-desk, billing, or insurance verification role; the successful candidate must be able to independently manage authorization queues, payer portals, clinical ...
$18.50 - $24.50/hr
Role Overview Flagler partners directly with pain management and orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of ...
$18.50 - $24.50/hr
Role Overview Flagler partners directly with pain management and orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of ...
New York, NY · Remote
$18.50 - $24.50/hr
Role Overview Flagler partners directly with pain management and orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of ...
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New York, NY · Remote
$18.50 - $24.50/hr
Role Overview Flagler partners directly with pain management and orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of ...
San Antonio, TX · On-site
$17 - $21.25/hr
In this role, you will manage end-to-end travel logistics for members traveling for medical care ... Authorization Management * Verify and document health plan travel authorizations, request and ...
San Antonio, TX · On-site
$17 - $21.25/hr
In this role, you will manage end-to-end travel logistics for members traveling for medical care ... Authorization Management * Verify and document health plan travel authorizations, request and ...
Authorization Manager * Summary: * The Authorization & Referral Specialist is responsible for coordinating all aspects of the prior authorization and referral process. This includes insurance and ...
Authorization Manager * Summary: * The Authorization & Referral Specialist is responsible for coordinating all aspects of the prior authorization and referral process. This includes insurance and ...
San Antonio, TX · On-site
$17 - $21.25/hr
In this role, you will manage end-to-end travel logistics for members traveling for medical care ... Authorization Management * Verify and document health plan travel authorizations, request and ...
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San Antonio, TX · On-site
$17 - $21.25/hr
In this role, you will manage end-to-end travel logistics for members traveling for medical care ... Authorization Management * Verify and document health plan travel authorizations, request and ...
San Antonio, TX · On-site
$17 - $21.25/hr
In this role, you will manage end-to-end travel logistics for members traveling for medical care ... Authorization Management * Verify and document health plan travel authorizations, request and ...
San Antonio, TX · On-site
$17 - $21.25/hr
In this role, you will manage end-to-end travel logistics for members traveling for medical care ... Authorization Management * Verify and document health plan travel authorizations, request and ...
San Antonio, TX · On-site
$16.75 - $21/hr
In this role, you will manage end-to-end travel logistics for members traveling for medical care ... Authorization Management * Verify and document health plan travel authorizations, request and ...
San Antonio, TX · On-site
$16.75 - $21/hr
In this role, you will manage end-to-end travel logistics for members traveling for medical care ... Authorization Management * Verify and document health plan travel authorizations, request and ...
Authorization Manager * Summary: * The Authorization & Referral Specialist is responsible for coordinating all aspects of the prior authorization and referral process. This includes insurance and ...
Authorization Manager * Summary: * The Authorization & Referral Specialist is responsible for coordinating all aspects of the prior authorization and referral process. This includes insurance and ...
Omaha, NE · On-site
$19 - $20/hr
Authorization Management Specialist Department: Operations FLSA: Non-Exempt General Function Responsible for preparing appeal summaries and prior authorizations, correspondence with prescriber ...
Omaha, NE · On-site
$19 - $20/hr
Authorization Management Specialist Department: Operations FLSA: Non-Exempt General Function Responsible for preparing appeal summaries and prior authorizations, correspondence with prescriber ...
Omaha, NE · On-site
$19 - $20/hr
Authorization Management Specialist Department: Operations FLSA: Non-Exempt General Function Responsible for preparing appeal summaries and prior authorizations, correspondence with prescriber ...
Omaha, NE · On-site
$19 - $20/hr
Authorization Management Specialist Department: Operations FLSA: Non-Exempt General Function Responsible for preparing appeal summaries and prior authorizations, correspondence with prescriber ...
Irvine, CA · On-site
$24 - $29/hr
The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.
Irvine, CA · On-site
$24 - $29/hr
The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.
Irvine, CA · On-site
$24 - $29/hr
The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.
Irvine, CA · On-site
$24 - $29/hr
The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.
The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.
Quick apply
The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.
Clermont, FL · On-site
$17 - $19/hr
This role requires expertise in coordinating procedures and managing authorizations in a fast-paced environment, ensuring a seamless experience for patients and providers. Key Responsibilities:
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Clermont, FL · On-site
$17 - $19/hr
This role requires expertise in coordinating procedures and managing authorizations in a fast-paced environment, ensuring a seamless experience for patients and providers. Key Responsibilities:
Denver, CO · On-site
$23 - $26.50/hr
Proven ability to manage multi-task workflows effectively in a fast-paced environment while meeting ... Authorization Management & Compliance: Accurately submits prior authorization requests to insurance ...
Denver, CO · On-site
$23 - $26.50/hr
Proven ability to manage multi-task workflows effectively in a fast-paced environment while meeting ... Authorization Management & Compliance: Accurately submits prior authorization requests to insurance ...
$31.5K - $42.3K
9% of jobs
$42.3K - $53K
13% of jobs
$57.3K is the 25th percentile. Wages below this are outliers.
$53K - $63.8K
7% of jobs
$63.8K - $74.6K
17% of jobs
The median wage is $76.8K / yr.
$74.6K - $85.4K
18% of jobs
$85.4K - $96.1K
7% of jobs
$99.6K is the 75th percentile. Wages above this are outliers.
$96.1K - $106.9K
11% of jobs
$106.9K - $117.7K
5% of jobs
$117.7K - $128.5K
5% of jobs
$128.5K - $139.2K
3% of jobs
$139.2K - $150K
4% of jobs
$31.5K
$83.5K
$150K
| Aspect | Authorization Manager | Credentialing Specialist |
|---|---|---|
| Required Credentials | Bachelor's degree, healthcare administration or related certifications | Healthcare-related certifications, licensing, and credentials |
| Work Environment | Healthcare organizations, insurance companies, hospitals | Hospitals, clinics, healthcare networks |
| Employer & Industry Usage | Used in healthcare management to oversee authorization processes | Used to verify provider credentials and maintain compliance |
| Common Search & Comparison | Often compared for roles involving patient access and insurance approvals | Compared 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.
Cities with the most Authorization Manager job openings:
The most popular types of Authorization jobs are:
States with the most job openings for Authorization Manager jobs include:
For Authorization Manager jobs, the most frequently searched job titles are:

Austin, TX
$18 - $22/hr
Full-time
Re-posted 7 days ago
Description
***Must be local to Austin/ the surrounding area**
Pre-Authorization Specialist Job Purpose: The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services. The Pre-Authorization Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned.
DUTIES INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:
Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt.
Successfully works with payers via electronic/telephonic and/or fax communications.
Responsible for verification and investigation of pre-certification, predetermination, and referral requirements for services.
Determines medical necessity by reviewing the appropriate medical policies established for each insurance payer.
Collaborates with designated clinical contacts regarding encounters that require escalation to peer-to-peer review.
Communicates with patients, clinical navigators, financial counselors, and others as necessary to facilitate authorization process.
Facilitates submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policies and procedures and maintaining departmental productivity and quality goals.
Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner. Completes accurate documentation in electronic medical record.
Completes notification to all payers via electronic/fax/telephonic means within 24 business hours of service to ensure compliance with Managed Care contractual requirements.
Follows departmental policies and procedures when necessary authorization is not obtained prior to service date.
Answers provider, staff, and patient questions surrounding insurance authorization requirements.
Operates standard office equipment (e.g. copier, personal computer, fax, etc.).
Has regular and predictable attendance.
Adheres to Advanced Pain Care's Policies and procedures.
Performs other duties as assigned.
Requirements
SUPERVISION:
Pre-Authorization Manager
MINIMUM QUALIFICATIIONS:
Education:
Requires a high school diploma or GED
Experience:
Minimum of three years' experience in billing/pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's and PPO's required.
WORKING CONDITIONS:
Environmental Conditions:
Medical Office environment
Physical Conditions:
Must be able to work as scheduled - typically from 8:00 - 5:00 M-F
Must be able to sit for prolonged periods of time
Sourced by ZipRecruiter
Outpatient health care
51 - 200 Employees
Round Rock, TX, US
2002