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Authorization Processor Jobs (NOW HIRING)

Kind Behavioral Health

Authorization Specialist

Raleigh, NC · On-site

$17.50 - $23.25/hr

The Authorizations Specialist supports the timely access to medically necessary services by coordinating and managing authorization processes across contracted commercial and government (Medicaid ...

EmergeOrtho

Authorization Specialist

Wilmington, NC · On-site +1

$15.25 - $20.25/hr

... processes, we want to hear from you! Be part of something bigger - apply today and help streamline the future of patient access and care coordination!

EmergeOrtho

Authorization Specialist

Asheville, NC · On-site

$17 - $22.75/hr

... processes, we want to hear from you! Be part of something bigger - apply today and help streamline the future of patient access and care coordination!

New England Life Care

Authorization Specialist

Concord, NH · On-site

$21 - $22/hr

The authorization specialist works closely with the clinical review department to obtain documentation needed to complete the authorization process. The authorization specialist also obtains needed ...

New England Life Care

Authorization Specialist

Canton, MA · On-site

$21 - $22/hr

The authorization specialist works closely with the clinical review department to obtain documentation needed to complete the authorization process. The authorization specialist also obtains needed ...

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How much do authorization processor jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for authorization processor in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.

What is the difference between Authorization Processor vs Claims Processor?

AspectAuthorization ProcessorClaims Processor
Required CredentialsHigh school diploma or equivalent; certifications like Certified Healthcare Access Associate (CHAA) are commonHigh school diploma or equivalent; certifications like Certified Claims Professional (CCP) are common
Work EnvironmentHealthcare facilities, insurance companies, or third-party administratorsInsurance companies, healthcare providers, or third-party claims processing centers
Job FocusReviewing and authorizing patient services or insurance coverageProcessing and adjudicating insurance claims for reimbursement
Common TasksVerifying coverage, obtaining authorizations, communicating with providersExamining claim details, coding, approving or denying claims

While both roles involve working within healthcare and insurance settings, Authorization Processors focus on approving patient services and verifying coverage, whereas Claims Processors handle the processing and adjudication of insurance claims for reimbursement. Understanding these differences helps in choosing the right career path or job search focus.

What are Authorization Processors?

Authorization Processors are professionals responsible for reviewing, verifying, and processing requests for access, permissions, or approvals, often in banking, insurance, or healthcare industries. Their main duties include checking documentation, ensuring compliance with company policies and regulations, and facilitating the approval or denial of authorization requests. They play a crucial role in preventing unauthorized transactions and maintaining the integrity of sensitive processes. Attention to detail, strong organizational skills, and a solid understanding of regulatory requirements are essential for this position.

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

To thrive as an Authorization Processor, you need a keen attention to detail, knowledge of insurance policies, and experience with healthcare or financial authorization processes, often supported by a high school diploma or equivalent. Familiarity with claims management systems, electronic health records (EHR), and insurance verification software is typically required. Strong organizational skills, clear communication, and problem-solving abilities help you efficiently manage requests and collaborate with clients and internal teams. These competencies ensure accurate, timely processing of authorizations, which is critical for preventing delays in patient care or financial transactions.

What are the most common challenges faced by Authorization Processors, and how can applicants prepare for them?

Authorization Processors often face challenges such as managing a high volume of requests, staying current with shifting insurance policies, and ensuring accuracy under tight deadlines. To prepare, applicants should develop strong organizational skills, attention to detail, and the ability to quickly learn new software or procedures. It's also helpful to familiarize yourself with healthcare terminology and payer requirements, as this knowledge will make it easier to navigate complex authorization cases and communicate effectively with providers and insurance representatives.
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What states have the most Authorization Processor jobs? States with the most job openings for Authorization Processor jobs include:
What job categories do people searching Authorization Processor jobs look for? The top searched job categories for Authorization Processor jobs are:
Authorization Processor jobs near you

Authorization Specialist

Kind Behavioral Health

Raleigh, NC • On-site

$17.50 - $23.25/hr

Full-time

Posted 17 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.
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