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Authorization Manager Jobs (NOW HIRING)

Medix

Prior Authorization Specialist

Phoenix, AZ · On-site

$18 - $21/hr

The position requires managing and processing prior authorization requests, maintaining accurate records, and ensuring that patient demographic information is up-to-date for billing accuracy. Key ...

Albany Med

Authorization Specialist I - CMH

Catskill, NY · On-site

$49.76K - $69.67K/yr

This includes securing Referral and Authorization. Insurance Verification and Benefit ... Must be able to manage pressure of very tight timeframes to execute task * Ability to learn in ...

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How much do authorization manager jobs pay per year?

As of May 30, 2026, the average yearly pay for authorization manager in the United States is $83,482.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $103,000.00 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.

More about Authorization Manager jobs
What cities are hiring for Authorization Manager jobs? Cities with the most Authorization Manager job openings:
What are the most commonly searched types of Authorization jobs? The most popular types of Authorization jobs are:
What states have the most Authorization Manager jobs? States with the most job openings for Authorization Manager jobs include:
What job categories do people searching Authorization Manager jobs look for? The top searched job categories for Authorization Manager jobs are:
Authorization Manager jobs near you
Infographic showing various Authorization Manager job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 88% In-person, 4% Hybrid, and 8% Remote job distribution, with an average salary of $83,482 per year, or $40.1 per hour.
Prior Authorization Service Coordinator

Prior Authorization Service Coordinator

Fallon Health

Worcester, MA • On-site

$18.50 - $23/hr

Other

Posted 3 days ago

Fallon Health rating

8.2

Company rating: 8.2 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

Overview
About us:
Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.
Brief summary of purpose:
Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted facilities/agencies/providers to collect pertinent prior authorization request data and disseminates information to the Authorization Coordinators. Additionally, supports the authorization process by receiving incoming faxed/mailed/emailed/etc. requests and initiates entry of service request shells into core system -TruCare. Responsible for incoming calls from the multiple ACD lines for the UM department addressing and/or referring customer (provider/member) calls/inquiries, provide direction regarding Plan policies, procedures and when applicable, benefit information. Work in conjunction with other Fallon Health departments to assist in processing authorization information in order to facilitate the member's medical services or the providers' claims. Interprets and triages information to ensure appropriate action is initiated to meet regulatory bodies' standards and to maintain the quality and timeliness of the authorization process.
Responsibilities
Primary Job Responsibilities:
Authorization Functions
  • Accepts authorization service requests and notifications for FCHP members, screens for member eligibility, additional active insurance coverage and authorization history from the core system.
  • Initiates entry of request(s) into core system (QNXT/TruCare) and case management application (TruCare) as applicable.
  • Updates authorization information in QNXT because of determinations made by Authorization Coordinators, Nurse Reviewers and/or Nurse Care Specialists.
  • Handles an appropriately high volume of daily auth entries into the core system (QNXT). This volume target will be communicated to the staff on a regular basis by the Manager as business needs dictate.
  • Prepares completed authorization records for filing in accordance with company record retention policy.
  • Assists with departmental auto fax process including running error reports and missing Fax # report daily as assigned.
  • Generates notifications to members, facilities, and agencies according to established protocol (auto-fax notification process and auto-generated letter process from the core system
  • Interfaces with other FCHP departments to obtain and verify information relevant to pre-authorization requests (e.g. contract information, benefits, etc.), including authorization details when requested for appeals.
  • Distributes departmental facsimiles; checks Right Fax no less than hourly throughout the day; follows established process for determining to whom facsimiles are to be delivered; research facsimiles inappropriately addressed by using the core system (QNXT) or by communicating with appropriate individuals for assistance; redirects/saves facsimiles as indicated to the staff and/or G drive.
  • Manage applicable queues in both the core system (QNXT UM and Call Tracking) and the case management application (TruCare).
  • Enters/extends/changes approved authorizations within established parameters.

Communications
  • Communicates with contracted and non-contracted facilities/agencies/providers to collect pertinent data regarding an episode of care and give applicable policy information and/or authorization numbers and status to facility/agency.
  • Communicates with inter/intra departmental personnel about all aspects of the authorization process as requested.
  • Responsible to provide first response to inbound call center. Handles calls from providers and members with excellent customer service.
  • Assist FCHP providers, members and/or their recognized authorized representatives with questions and concerns regarding authorizations.
  • Manage the ACD hunt line and handle calls appropriately with a focus toward excellent customer service. In addition, the Service Coordinator will attain the targets for a customer service call center as set by FCHP. These targets will be communicated to the staff by the Manager.
  • Educates PCP offices on new authorization procedures as needed as well as answer benefit/claims/referral questions in support of the Customer Service function.
  • Manage the Call Tracking module in the core system (QNXT) as required.

Miscellaneous
  • Strictly observes the FCHP policy regarding confidentiality of member and provider information.
  • Handle other duties as assigned based on the needs of the business.

Qualifications
Education:
High School Diploma or GED required. Associates Degree Preferred. Some advanced education highly preferred
Experience:
Two+ years office experience, preferably in a managed healthcare environment, call center experience helpful; knowledge of medical terminology required; computer literacy and data entry experience required.
  • Excellent telephone, typing and computer skills.
  • Self-starter (able to identify when specifically assigned functions have been completed and to request additional work)
  • Excellent organizational skills
  • Excellent listening/oral communication skills
  • Mature judgment: knows when to seek guidance/direction and or when to refer problems to management.
  • Ability to maintain high degree of confidential/privileged patient and proprietary business information.
  • Computer Skills (QNXT, Trucare, Excel, Word)

Pay Range Disclosure:
In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $21 - $22/hour, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate's experience, skills, and fit with the role's responsibilities.
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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