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Authorization Processor Jobs in California (NOW HIRING)

Advanced Medical Management

UM Coordinator

Long Beach, CA · On-site

$23 - $27/hr

Receive and process prior authorization requests through EZCAP. * Verify member eligibility and health plan benefits. * Verify provider participation and network status. * Determine whether requests ...

Advanced Medical Management

UM Coordinator

Long Beach, CA · On-site

$23 - $27/hr

Receive and process prior authorization requests through EZCAP. * Verify member eligibility and health plan benefits. * Verify provider participation and network status. * Determine whether requests ...

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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 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 are popular job titles related to Authorization Processor jobs in California? For Authorization Processor jobs in California, the most frequently searched job titles are:
What job categories do people searching Authorization Processor jobs in California look for? The top searched job categories for Authorization Processor jobs in California are:
What cities in California are hiring for Authorization Processor jobs? Cities in California with the most Authorization Processor job openings:
Authorization Processor jobs near you
Infographic showing various Authorization Processor job openings in California as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Authorization Coordinator- Pediatric Clinic

Center for Family Health and Education

Panorama City, CA • On-site

$21 - $24/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago

Job description

Authorizations Coordinator

DEPARTMENT: Pediatric Clinic

REPORTS TO: Clinic Manager

This document is intended to describe the general duties required for this position. It is not intended to serve as an exhaustive list of duties, skills, and responsibilities.

Summary: The position entails obtaining authorization and utilization reviews for several locations. Responsible for verifying patient-eligibility, coordinating benefits, and facilitating insurance coverage, as well as addressing patients' concerns regarding authorization and turnaround.

Responsibilities:

· Verify eligibility with all insurances, request authorizations/referrals.

· Contact Primary Care Physicians for required information.

· Follow up with the insurance authorization department to obtain authorizations in a timely manner.

· Create charts and upload all authorizations and referrals.

· Reports to Manager any referrals that have not met the required timeline and monitors daily reports of completed authorizations for quality assurance

· Contact patient by telephone to inform that referral has been approved or denied, and logs the event appropriately within the authorization system. When required on expedited authorizations, also verbally contacts the requesting provider of the approval or denial.

· Enters required data into authorization software accurately.

· Answers questions and educates referring providers on the processes, requirements and documentation required to authorize services that promote quality of care.

· Other duties as assigned.

Qualifications:

  • High School Diploma or GED required
  • 2 years in a medical office setting
  • 2 years of medical authorizations and referral processing
  • Knowledge and experience with an EHR, and medical database
  • Excellent telephone and communication skills
  • Knowledge of CPT codes and different types of insurances (Medi-Cal/HMO/PPO)
  • Ability to work quickly and under pressure

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Company Description

The Center for Family Health & Education, Inc. (CFHE) is a 501(c)(3) nonprofit Federally Qualified Health Center (FQHC), located in the northeast San Fernando Valley area of Los Angeles. CFHE provides affordable and comprehensive medical care for underserved, uninsured, and underinsured residents of the greater Panorama City area. CFHE has been providing primary health care, mental health care, dental care, and women’s and children health care, as well as transportation services for patients since 2009.