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Authorization Processor Jobs in Chicago, IL (NOW HIRING)

Prior Authorization Specialist

Aurora, IL ยท On-site

$19.50 - $21.50/hr

Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed ... Detail-oriented and thorough in reviewing medical documentation and processing requests. * Strong ...

Prior Authorization Specialist

Aurora, IL ยท On-site

$19.50 - $21.50/hr

Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed ... Detail-oriented and thorough in reviewing medical documentation and processing requests. * Strong ...

New

Pre Authorization Lead

Chicago, IL ยท On-site

$21.61 - $30.53/hr

The Pre- Authorization Specialist Lead is responsible for obtaining and resolving referral ... Acts as a champion of new initiatives to support management to implement new processes and ...

Pre Authorization Lead

Chicago, IL ยท On-site

$21.61 - $30.53/hr

Acts as a champion of new initiatives to support management to implement new processes and ... authorization. Per referral guidelines, provide appropriate clinical information to the payer.

Want to be part of the process that turns plasma donations into life-saving therapies? As a ... authorization. For more information, please contact the Department of Homeland Security.

Order Processor

Palatine, IL ยท Hybrid

$22 - $26/hr

Process and enter a high volume of customer orders (250+ per week) in the ERP system, ensuring ... Must be legally authorized to work in the United States. HOH Water Technology is an Equal ...

Order Processor

Palatine, IL ยท On-site

$22 - $26/hr

Process and enter a high volume of customer orders (250+ per week) in the ERP system, ensuring ... Must be legally authorized to work in the United States. HOH Water Technology is an Equal ...

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Authorization Processor information

See Chicago, IL salary details

$9

$17

$26

How much do authorization processor jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for authorization processor in Chicago, IL is $17.25, according to ZipRecruiter salary data. Most workers in this role earn between $13.85 and $19.81 per hour, depending on experience, location, and employer.

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.

Authorization Specialist

Avid Health at Home, LLC

Chicago, IL โ€ข On-site

$48K - $58K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago


Job description

Description:

Avid Health delivers exceptional personalized in-home care services by hiring compassionate people who believe in taking care of our clients, fellow employees, and the communities we serve.


We believe in Access, Value-Based Care, Innovation, and Dedication to Quality.


JOIN OUR TEAM!


This position is available immediately!


The Authorization Specialist is responsible for obtaining and managing insurance authorizations for home care services. This role ensures timely coordination with payers and compliance with regulatory and payer requirements. The specialist acts as a key liaison among operational teams and insurance providers to secure approvals and avoid delays in care.


Key Responsibilities

  • Obtain prior authorizations and recertifications for home care services from insurance providers (Medicaid, Managed Care, and commercial plans).
  • Submit authorization requests accurately and follow up to ensure timely approvals or denials.
  • Monitor authorization status and track expiration dates to prevent lapses in authorization.
  • Communicate authorization outcomes to operational staff and leadership.
  • Resolve authorization issues and denials, including coordinating appeals and additional documentation when needed.
  • Maintain accurate records in the electronic medical record (EMR) and billing systems.
  • Ensure compliance with federal, state, and payer-specific regulations and guidelines.
  • Collaborate with revenue cycle and operational teams to streamline workflow and improve authorization turnaround times.
  • Identify trends in denials or payer issues and escalate appropriately.

Performance Indicators

  • Authorization turnaround time
  • Approval vs. denial rates
  • Reduction in authorization-related delays in patient care
  • Accuracy of documentation and data entry
  • Compliance with payer and regulatory standards

You have a lot to offer! And so do we!


Benefits:

  • Competitive pay, paid biweekly
  • Paid Time Off
  • 401k plan with company match
  • Medical Insurance (choice of 3 plans), with company contribution
  • Dental Insurance
  • Vision Insurance
  • Life and AD&D Insurance
  • Short and Long-Term Disability Insurance
  • Holiday Pay
  • Ongoing training
  • Performance based bonus

Employer is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.


Requirements:

Required Qualifications

  • High school diploma or equivalent (Associate or Bachelorโ€™s degree preferred).
  • Minimum 1โ€“3 years of experience in healthcare authorization or revenue cycle (home care or home health preferred).
  • Strong knowledge of Medicaid, and managed care authorization processes. Experience with North Carolina, Illinois, Michigan, Kentucky and/or Ohio a plus.
  • Familiarity with medical terminology and home care services.
  • Experience working with EMR systems and insurance portals. AlayaCare experience a plus.
  • Excellent organizational skills and attention to detail.
  • Strong communication and problem-solving abilities.


Preferred Qualifications

  • Experience in a home care, hospice, or home health setting.
  • Knowledge of payer-specific guidelines for eligibility, authorization and services.
  • Prior experience handling denials and appeals.


Key Competencies

  • Detail-oriented with high accuracy
  • Time management and prioritization
  • Analytical and critical thinking
  • Customer service and patient-focused mindset
  • Ability to work under deadlines in a fast-paced environment
  • Strong collaboration and teamwork


Working Conditions

  • Office-based work environment
  • Frequent use of computers, phones, and insurance portals
  • May require extended periods of sitting