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Authorization Processor Jobs in Alabama (NOW HIRING)

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL · On-site

$18.25 - $22.75/hr

Conduct thorough verification of patient insurance coverage to determine pre-authorization requirements. * Pre-Certification Processing: Initiate and manage the pre-certification process for medical ...

KureSmart

Pre-Cert Coordinator

Montgomery, AL

$18.25 - $22.75/hr

Conduct thorough verification of patient insurance coverage to determine pre-authorization requirements. * Pre-Certification Processing: Initiate and manage the pre-certification process for medical ...

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL

$15.50 - $19.25/hr

Conduct thorough verification of patient insurance coverage to determine pre-authorization requirements. * Pre-Certification Processing: Initiate and manage the pre-certification process for medical ...

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL · On-site

$15.50 - $19.25/hr

Conduct thorough verification of patient insurance coverage to determine pre-authorization requirements. * Pre-Certification Processing: Initiate and manage the pre-certification process for medical ...

Clearway Pain Solutions

Pre-Cert Coordinator

Montgomery, AL

$18.25 - $22.75/hr

Conduct thorough verification of patient insurance coverage to determine pre-authorization requirements. * Pre-Certification Processing: Initiate and manage the pre-certification process for medical ...

Baptist Health

Referral Coordinator III

Birmingham, AL · On-site

$16.75 - $22/hr

Knowledge of medical terminology and referral/authorization processes * Strong critical thinking and problem-solving skills Experience * Minimum of 5 years of medical office experience * Experience ...

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Baptist Health

Referral Coordinator III

Birmingham, AL · On-site

$16.75 - $22/hr

Knowledge of medical terminology and referral/authorization processes * Strong critical thinking and problem-solving skills Experience * Minimum of 5 years of medical office experience * Experience ...

New

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All JobsAuthorization Processor JobsAuthorization Processor Jobs in Alabama

Authorization Processor information

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.
What are popular job titles related to Authorization Processor jobs in Alabama? For Authorization Processor jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Authorization Processor jobs in Alabama look for? The top searched job categories for Authorization Processor jobs in Alabama are:
What cities in Alabama are hiring for Authorization Processor jobs? Cities in Alabama with the most Authorization Processor job openings:
Authorization Processor jobs near you
Prior Authorization

Prior Authorization

Urology Centers of Alabama

Birmingham, AL

$16.75 - $22.50/hr

Other

Posted 23 days ago

Job description

General Summary

The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment. 

Key Responsibilities 

  • Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required. 

  • Review patient charts to obtain relevant clinical documentation needed to support authorization requests 

  • Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates. 

  • Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up. 

  • Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary.  

  • Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries. 

  • Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements. 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear.  The employee must occasionally lift and/or move more than 45 pounds.

  • Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests. 

  • Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment. 

  • Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff. 

  • Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously. 

  • Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests. 

  • HS Diploma or GED  required. 

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