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Authorization Processor Jobs in Alabama (NOW HIRING)

Prior Authorization Specialist (3153)

Birmingham, AL · On-site

$16.75 - $22.50/hr

... process. • Appropriately prioritizes workload to ensure the most urgent cases are handled in a ... authorization is not obtained before the service date. • Answers provider, staff, and patient ...

Oversee the process of obtaining prior authorization for hematology and oncology treatments from insurance companies, ensuring timely access to necessary medications and therapies while adhering to ...

Prior Authorization

Homewood, AL · On-site

$18 - $24/hr

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 Spec

Birmingham, AL · On-site

$15 - $22.75/hr

... processes within the multiple clinic settings at Cooper Green. This role will comprise of a mix of traditional authorization specialist duties and insurance verification duties. The Authorization ...

Chemical Processor At Nouryon, our global team takes positive action every day, to reach higher ... Observes site for potential intruders, trespassers, or other non-authorized person; reporting ...

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 ...

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 ...

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 ...

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 ...

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Authorization Processor information

What is an authorization processor?

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 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 cities in Alabama are hiring for Authorization Processor jobs?

Cities in Alabama with the most Authorization Processor job openings:

Prior Authorization Specialist (3153)

Birmingham, AL • On-site

HeartPlace
Outpatient Health Care • 201 - 500 employees

$16.75 - $22.50/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

US Heart and Vascular is in need of a Cardiology Prior Authorizations Specialist to join our team at Birmingham Cardiology in Birmingham, AL.
If you have a passion for obtaining prior authorizations for Veins, Structural Heart and CT Studies, please join our US Heart and Vascular team
Responsibilities:
• Ensures timely and accurate insurance authorizations are in place prior to services being rendered.
• Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt.
• Responsible for verification and investigation of pre-certification, authorization, and referral requirements for services.
• Coordinates and supplies information to the review organization (payer) including medical record information and/or letter of medical necessity for determination of benefits.
• Collaborates with designated clinical contacts regarding encounters that require escalation to peer-to-peer review.
• Communicates with patients, clinical partners, financial counselors, and others as necessary to facilitate the authorization process.
• Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner.
• Completes accurate documentation in all applications.
• Follows departmental policies and procedures, when necessary, authorization is not obtained before the service date.
• Answers provider, staff, and patient questions surrounding insurance authorization requirements.
• Handles escalated authorization requests as needed.
• Provides team mentorship as needed.
• Works other departmental tasks as needed.
Requirements:
• Familiarity with medical office procedures and billing practices
• Proficient in clinical documentation review for alignment with insurance authorization requirements
• Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.
• High School Diploma or equivalent required
• Associate's degree in healthcare administration or business administration preferred
• A minimum of 3-5 years' experience in the same role, or related field in a healthcare setting is required.
• ECW experience is preferred.
About Birmingham, AL:
Birmingham blends history, culture, and a growing job market. The city offers a mix of urban energy and Southern charm. Residents enjoy outdoor spaces, great food, and an affordable cost of living. It's a welcoming place with something for everyone.