Kissimmee, FL · On-site
$16 - $21.25/hr
Initiate the authorization process with insurance companies by submitting all required documentation and information. Follow up with insurance companies to obtain timely approval for medical services ...
Kissimmee, FL · On-site
$16 - $21.25/hr
Initiate the authorization process with insurance companies by submitting all required documentation and information. Follow up with insurance companies to obtain timely approval for medical services ...
$17 - $20/hr
Initiate the authorization process with insurance companies by submitting all required documentation and information. Follow up with insurance companies to obtain timely approval for medical services ...
Quick apply
$17 - $20/hr
Initiate the authorization process with insurance companies by submitting all required documentation and information. Follow up with insurance companies to obtain timely approval for medical services ...
El Paso, TX · On-site
$16.25 - $21.75/hr
Handle authorization process and obtain pre-certification approvals prior to service. * Submit pre-authorization requests and follow up with payer to ensure timely approvals. Update resident ...
El Paso, TX · On-site
$16.25 - $21.75/hr
Handle authorization process and obtain pre-certification approvals prior to service. * Submit pre-authorization requests and follow up with payer to ensure timely approvals. Update resident ...
Bakersfield, CA · On-site
$18 - $22/hr
In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency.
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Bakersfield, CA · On-site
$18 - $22/hr
In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency.
Bakersfield, CA · On-site
$18 - $22/hr
In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency.
Quick apply
Bakersfield, CA · On-site
$18 - $22/hr
In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency.
Bowling Green, KY · On-site
$17.50 - $23.25/hr
This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization ...
Bowling Green, KY · On-site
$17.50 - $23.25/hr
This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization ...
$17.75 - $23.50/hr
Knowledge of prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability ...
$17.75 - $23.50/hr
Knowledge of prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability ...
Bakersfield, CA · On-site
$18.50 - $24.75/hr
In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency.
Bakersfield, CA · On-site
$18.50 - $24.75/hr
In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency.
$19 - $23.50/hr
Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and client performance commitments. Uses various business applications to perform analysis ...
$19 - $23.50/hr
Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and client performance commitments. Uses various business applications to perform analysis ...
Reston, VA · On-site
$23/hr
Tracks and monitors prior authorization status throughout the insurance approval process. * Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior ...
Reston, VA · On-site
$23/hr
Tracks and monitors prior authorization status throughout the insurance approval process. * Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior ...
Bowling Green, KY · On-site
$17.75 - $23.50/hr
Knowledge of prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability ...
Bowling Green, KY · On-site
$17.75 - $23.50/hr
Knowledge of prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability ...
Bakersfield, CA · On-site
$18 - $22/hr
In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency.
Quick apply
Bakersfield, CA · On-site
$18 - $22/hr
In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency.
Bowling Green, KY · On-site
$17.50 - $23.25/hr
Knowledge of prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability ...
Bowling Green, KY · On-site
$17.50 - $23.25/hr
Knowledge of prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability ...
Tracks and monitors prior authorization status throughout the insurance approval process. * Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior ...
Quick apply
Tracks and monitors prior authorization status throughout the insurance approval process. * Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior ...
Reston, VA · On-site
$19 - $25.25/hr
Tracks and monitors prior authorization status throughout the insurance approval process. * Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior ...
Quick apply
Reston, VA · On-site
$19 - $25.25/hr
Tracks and monitors prior authorization status throughout the insurance approval process. * Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior ...
Be Seen First
Sierra Vista, AZ · On-site
$17/hr
Knowledge of insurance verification and prior authorization processes. * Strong attention to detail and organizational skills. * Excellent communication and customer service skills. * Ability to work ...
Quick apply
Be Seen First
Sierra Vista, AZ · On-site
$17/hr
Knowledge of insurance verification and prior authorization processes. * Strong attention to detail and organizational skills. * Excellent communication and customer service skills. * Ability to work ...
Tempe, AZ · On-site
$22.55 - $27.41/hr
Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and client performance commitments. Uses various business applications to perform analysis ...
Tempe, AZ · On-site
$22.55 - $27.41/hr
Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and client performance commitments. Uses various business applications to perform analysis ...
$17.75 - $23.50/hr
This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization ...
$17.75 - $23.50/hr
This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization ...
Bowling Green, KY · On-site
$17.75 - $23.50/hr
This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization ...
Bowling Green, KY · On-site
$17.75 - $23.50/hr
This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization ...
Auburn, NY · On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior authorization process including insurance verification, formulary reviews, gathering necessary clinical ...
Auburn, NY · On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior authorization process including insurance verification, formulary reviews, gathering necessary clinical ...
$8.89 - $10.45
6% of jobs
$10.45 - $12
6% of jobs
$13.34 is the 25th percentile. Wages below this are outliers.
$12 - $13.55
14% of jobs
$13.55 - $15.10
19% of jobs
The median wage is $15.49 / hr.
$15.10 - $16.65
15% of jobs
$16.65 - $18.20
13% of jobs
$18.35 is the 75th percentile. Wages above this are outliers.
$18.20 - $19.76
9% of jobs
$19.76 - $21.31
5% of jobs
$21.31 - $22.86
5% of jobs
$22.86 - $24.41
3% of jobs
$24.41 - $25.96
3% of jobs
$8
$16
$25
| Aspect | Authorization Processor | Claims Processor |
|---|---|---|
| Required Credentials | High school diploma or equivalent; certifications like Certified Healthcare Access Associate (CHAA) are common | High school diploma or equivalent; certifications like Certified Claims Professional (CCP) are common |
| Work Environment | Healthcare facilities, insurance companies, or third-party administrators | Insurance companies, healthcare providers, or third-party claims processing centers |
| Job Focus | Reviewing and authorizing patient services or insurance coverage | Processing and adjudicating insurance claims for reimbursement |
| Common Tasks | Verifying coverage, obtaining authorizations, communicating with providers | Examining 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.
$16 - $21.25/hr
Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 1 hour ago
Job Description: Authorization/Referral Specialist
Position Overview:
We are seeking a detail-oriented and highly organized Authorization Specialist to join our growing Cardiology Group. The Authorization/Referral Specialist will be responsible for obtaining authorization from insurance companies and other third-party payers to ensure timely reimbursement for medical services provided. This role requires strong communication skills, attention to detail, and the ability to navigate insurance authorization processes efficiently.
Key Responsibilities:
1. Verify Insurance Coverage: Review patient insurance details and benefits to determine coverage for specific medical services. Communicate with patients and insurance companies to clarify coverage details when necessary.
2. Obtain Authorizations/Referral: Initiate the authorization process with insurance companies by submitting all required documentation and information. Follow up with insurance companies to obtain timely approval for medical services.
3. Documentation and Records: Maintain accurate and updated records of all authorization requests and communications. Document all relevant information regarding insurance coverage, authorizations, denials, and any additional requirements from payers.
4. Collaborate with Providers: Collaborate closely with healthcare providers, including physicians, nurses, and administrative staff, to gather necessary medical documentation and ensure appropriate codes and information are included in authorization requests.
5. Adhere to Compliance Policies: Ensure compliance with all applicable laws, regulations, and internal policies related to obtaining authorizations. Stay updated on insurance industry changes and guidelines for authorization processes.
6. Insurance Appeals: Assist in the insurance appeals process for denied authorizations. Gather additional information, follow up with insurance companies, and provide necessary documentation to support the appeal.
7. Communication and Customer Service: Maintain effective communication with patients and insurance companies, to resolve any issues or discrepancies related to authorizations. Provide timely and knowledgeable responses to inquiries and concerns.
Qualifications and Skills:
- High school diploma or equivalent required; associate or bachelor's degree in healthcare administration or related field preferred.- Minimum of 2 years of experience in medical billing, insurance authorization, or related field.- Strong understanding of medical terminology, insurance plans, and authorization processes.- Excellent written and verbal communication skills, with the ability to effectively communicate complex information to patients, insurance companies, and healthcare providers.- Proficient in using computer systems for data entry, record-keeping, and communication.- Detail-oriented with a strong ability to prioritize tasks and manage multiple authorizations simultaneously.- Knowledge of insurance billing and coding systems (ICD-10, CPT, HCPCS) is a plus.- Familiarity with electronic health records (EHR).- Ability to work independently as well as collaboratively in a team-oriented environment.
The Authorization/Referral Specialist plays a critical role in ensuring the smooth and efficient processing of insurance authorizations to facilitate timely healthcare services for patients. If you have strong organizational skills, attention to detail, and a passion for assisting patients navigate insurance processes, we invite you to apply for this position.
Benefits:
Dental insurance
Health insurance
Life insurance
401(K) Retirement
Paid time off
Vision insurance
If you are seeking a challenging and rewarding career in a fast-paced medical environment, we encourage you to apply for this role.
