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Authorization Processor Jobs in New York (NOW HIRING)

Authorization Specialist

Morristown, NJ · On-site

$20 - $23.50/hr

Align daily duties with standard authorization workflows while managing unique processes specific to surgical and specialty projects. Qualifications * Strong background in hospital authorizations for ...

Authorizations Coordinator

West Hempstead, NY · On-site

$19.50 - $24.25/hr

Submit authorization requests, extensions, and renewals through payer portals or designated submission processes. * Follow up regularly with managed care organizations, Area Agencies on Aging, and ...

Authorizations Coordinator

West Hempstead, NY · On-site

$19.50 - $24.25/hr

Submit authorization requests, extensions, and renewals through payer portals or designated submission processes. * Follow up regularly with managed care organizations, Area Agencies on Aging, and ...

Authorizations Coordinator

West Hempstead, NY · On-site

$19.50 - $24.25/hr

Submit authorization requests, extensions, and renewals through payer portals or designated submission processes. * Follow up regularly with managed care organizations, Area Agencies on Aging, and ...

Authorizations Coordinator

West Hempstead, NY · On-site

$19.50 - $24.25/hr

Submit authorization requests, extensions, and renewals through payer portals or designated submission processes. * Follow up regularly with managed care organizations, Area Agencies on Aging, and ...

Prior Authorization Lead

New York, NY · On-site

$100K - $140K/yr

Lead the end-to-end prior authorization process, including verification, documentation, submission, and follow-up with payers. * Build and optimize workflows that minimize turnaround times and ...

Prior Authorization Specialist

New York, NY · On-site

$19.75 - $26.25/hr

You'll combine deep operational knowledge with process improvement, helping us encode payer-specific workflows into software that scales across thousands of authorization requests. This isn't a ...

Prior Authorization Specialist

Manhattan, NY · On-site

$19.75 - $26.50/hr

You'll combine deep operational knowledge with process improvement, helping us encode payer-specific workflows into software that scales across thousands of authorization requests. This isn't a ...

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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 New York are hiring for Authorization Processor jobs?

Cities in New York with the most Authorization Processor job openings:

Authorization Specialist - Fertility

Stony Brook Medicine

Commack, NY • On-site

$20 - $25.50/hr

Other

Medical, Life, Retirement, PTO

Re-posted 20 days ago


Stony Brook Medicine rating

7.6

Company rating: 7.6 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

190th of 891 rated healthcare providers


Job description

EOE Statement
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
Description
JOB SUMMARY:
The Authorization/Referral specialist works in the Authorization Department as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.
JOB RESPONSIBILITES:
  • Obtains authorizations for ancillary tests and medical procedures.
  • Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
  • Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
  • Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.
  • Performs eligibility checks on members as necessary by telephone or electronically.
  • Follows procedures for proper authorization and processing of all referral services.
  • Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
  • Communicates with patient and practice to ensure follow through with referrals.
  • Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
  • Completes all administrative functions related with referral activities in an efficient manner.
  • Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.
  • Responsible for monitoring all referral reports not received and follow up in a timely manner.
  • Performs duties in honest and ethical manner.
  • Perform other duties as assigned.
Category
Business Support
Exempt/Non-Exempt
Non-Exempt
Location
Island Fertility - Fertility
Full-Time/Part-Time
Full-Time
Position Requirements
REQUIRED QUALIFICATIONS:
  • High School Diploma/GED minimum.
  • Three (3) years of administrative experience in a medical office setting.
  • Prior pre-authorization process experience.
  • Strong organizational and communication skills (both verbal and written).
  • Excellent typing skills and friendly telephone etiquette.
  • Microsoft Office proficiency.
PREFERRED QUALIFICATIONS:
  • EMR experience.
  • Experience with managed care companies.
  • Familiarity with medical terminology, CPT procedure codes, and ICD-10 codes.

$20.00-$25.50
Shift
Days
Tags
Benefits/PTO/401k/Life Insurance
Salary Range
Position
Authorization/Referral Specialist
Open Date
8/20/2026
This position is currently accepting applications.

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