Prior Authorization
$16.75 - $22.50/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 ...
$16.75 - $22.50/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 ...
$16.75 - $22.50/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 ...
Birmingham, AL · On-site
$16 - $19.75/hr
The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients. * The primary role of the Authorization Specialist is to review ...
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Birmingham, AL · On-site
$16 - $19.75/hr
The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients. * The primary role of the Authorization Specialist is to review ...
Birmingham, AL · On-site
$16 - $19.75/hr
The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients. * The primary role of the Authorization Specialist is to review ...
Quick apply
Birmingham, AL · On-site
$16 - $19.75/hr
The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients. * The primary role of the Authorization Specialist is to review ...
Birmingham, AL · On-site
$16 - $19.75/hr
The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients. * The primary role of the Authorization Specialist is to review ...
Quick apply
Birmingham, AL · On-site
$16 - $19.75/hr
The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients. * The primary role of the Authorization Specialist is to review ...
Birmingham, AL · Remote
$50 - $60/hr
Support process improvements to streamline workflow and turnaround times. What You'll Bring ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Birmingham, AL · Remote
$50 - $60/hr
Support process improvements to streamline workflow and turnaround times. What You'll Bring ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
$16.75 - $23/hr
Knowledge of Medicare, Medicaid, managed care, and insurance authorization processes preferred * Strong communication and interpersonal skills * Excellent organizational and multitasking abilities
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$16.75 - $23/hr
Knowledge of Medicare, Medicaid, managed care, and insurance authorization processes preferred * Strong communication and interpersonal skills * Excellent organizational and multitasking abilities
Birmingham, AL · On-site
$16.75 - $23/hr
Knowledge of Medicare, Medicaid, managed care, and insurance authorization processes preferred * Strong communication and interpersonal skills * Excellent organizational and multitasking abilities
Birmingham, AL · On-site
$16.75 - $23/hr
Knowledge of Medicare, Medicaid, managed care, and insurance authorization processes preferred * Strong communication and interpersonal skills * Excellent organizational and multitasking abilities
Birmingham, AL · On-site
$16.75 - $22.50/hr
Process payments from patients for co-pays and cash pay * Follow standard operating procedures of Patient Service Coordinators at Urgent Care for Children * Provide patients with support and guidance ...
Birmingham, AL · On-site
$16.75 - $22.50/hr
Process payments from patients for co-pays and cash pay * Follow standard operating procedures of Patient Service Coordinators at Urgent Care for Children * Provide patients with support and guidance ...
Birmingham, AL · On-site
Run test claims during the intake process to proactively identify potential issues. * Advocate for prior authorization approvals and assist with challenging cases. * Monitor pending referrals to ...
Birmingham, AL · On-site
Run test claims during the intake process to proactively identify potential issues. * Advocate for prior authorization approvals and assist with challenging cases. * Monitor pending referrals to ...
Birmingham, AL · On-site
Run test claims during the intake process to proactively identify potential issues. * Advocate for prior authorization approvals and assist with challenging cases. * Monitor pending referrals to ...
Birmingham, AL · On-site
Run test claims during the intake process to proactively identify potential issues. * Advocate for prior authorization approvals and assist with challenging cases. * Monitor pending referrals to ...
Birmingham, AL · On-site
$15.50 - $20.50/hr
Process payments from patients for co-pays and cash pay * Follow standard operating procedures of Patient Service Coordinators at Urgent Care for Children * Provide patients with support and guidance ...
Birmingham, AL · On-site
$15.50 - $20.50/hr
Process payments from patients for co-pays and cash pay * Follow standard operating procedures of Patient Service Coordinators at Urgent Care for Children * Provide patients with support and guidance ...
Trussville, AL · On-site
$16.50 - $22/hr
Process payments from patients for co-pays and cash pay * Follow standard operating procedures of Patient Service Coordinators at Urgent Care for Children * Provide patients with support and guidance ...
Trussville, AL · On-site
$16.50 - $22/hr
Process payments from patients for co-pays and cash pay * Follow standard operating procedures of Patient Service Coordinators at Urgent Care for Children * Provide patients with support and guidance ...
Gardendale, AL · On-site
$13.50 - $15.50/hr
Completes training on T-Mobile in-store experience, new skills and processes, knowledge of systems ... Legally authorized to work in the United States * High School Diploma or GED * Bilingual candidates ...
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Gardendale, AL · On-site
$13.50 - $15.50/hr
Completes training on T-Mobile in-store experience, new skills and processes, knowledge of systems ... Legally authorized to work in the United States * High School Diploma or GED * Bilingual candidates ...
Gardendale, AL · On-site
$13.50 - $15.50/hr
Completes training on T-Mobile in-store experience, new skills and processes, knowledge of systems ... Legally authorized to work in the United States * High School Diploma or GED * Bilingual candidates ...
Gardendale, AL · On-site
$13.50 - $15.50/hr
Completes training on T-Mobile in-store experience, new skills and processes, knowledge of systems ... Legally authorized to work in the United States * High School Diploma or GED * Bilingual candidates ...
Knowledge: Familiarity with nuclear facility regulations and access authorization programs. * Preferred: * Certification in Background Investigations (CBI). * Southern Nuclear in-processing ...
Knowledge: Familiarity with nuclear facility regulations and access authorization programs. * Preferred: * Certification in Background Investigations (CBI). * Southern Nuclear in-processing ...
Birmingham, AL · On-site
Knowledge: Familiarity with nuclear facility regulations and access authorization programs. * Preferred: * Certification in Background Investigations (CBI). * Southern Nuclear in-processing ...
Quick apply
Birmingham, AL · On-site
Knowledge: Familiarity with nuclear facility regulations and access authorization programs. * Preferred: * Certification in Background Investigations (CBI). * Southern Nuclear in-processing ...
Knowledge: Familiarity with nuclear facility regulations and access authorization programs. * Preferred: * Certification in Background Investigations (CBI). * Southern Nuclear in-processing ...
Knowledge: Familiarity with nuclear facility regulations and access authorization programs. * Preferred: * Certification in Background Investigations (CBI). * Southern Nuclear in-processing ...
Understanding of prior authorization process and experience partnering with key healthcare providers and office personnel on manufacturer sponsored market access support programs preferred. * Have a ...
Understanding of prior authorization process and experience partnering with key healthcare providers and office personnel on manufacturer sponsored market access support programs preferred. * Have a ...
Birmingham, AL · On-site
Ensure alignment between authorizations, claims received, and invoicing readiness * Identify process gaps and implement system and workflow improvements to increase efficiency * Establish and oversee ...
Birmingham, AL · On-site
Ensure alignment between authorizations, claims received, and invoicing readiness * Identify process gaps and implement system and workflow improvements to increase efficiency * Establish and oversee ...
Birmingham, AL · On-site
Ensure alignment between authorizations, claims received, and invoicing readiness * Identify process gaps and implement system and workflow improvements to increase efficiency * Establish and oversee ...
Birmingham, AL · On-site
Ensure alignment between authorizations, claims received, and invoicing readiness * Identify process gaps and implement system and workflow improvements to increase efficiency * Establish and oversee ...
$8.11 - $9.53
6% of jobs
$9.53 - $10.94
6% of jobs
$12.17 is the 25th percentile. Wages below this are outliers.
$10.94 - $12.36
14% of jobs
$12.36 - $13.77
19% of jobs
The median wage is $14.13 / hr.
$13.77 - $15.19
15% of jobs
$15.19 - $16.60
13% of jobs
$16.74 is the 75th percentile. Wages above this are outliers.
$16.60 - $18.02
9% of jobs
$18.02 - $19.43
5% of jobs
$19.43 - $20.85
5% of jobs
$20.85 - $22.26
3% of jobs
$22.26 - $23.68
3% of jobs
$8
$15
$23
| Aspect | Authorization Processor | Claims Processor |
|---|---|---|
| Required Credentials | High school diploma or equivalent; certifications like Certified Healthcare Access Associate (CHAA) are common | High school diploma or equivalent; certifications like Certified Claims Professional (CCP) are common |
| Work Environment | Healthcare facilities, insurance companies, or third-party administrators | Insurance companies, healthcare providers, or third-party claims processing centers |
| Job Focus | Reviewing and authorizing patient services or insurance coverage | Processing and adjudicating insurance claims for reimbursement |
| Common Tasks | Verifying coverage, obtaining authorizations, communicating with providers | Examining 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.
$16.75 - $22.50/hr
Other
Posted 21 days ago
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.Â
Key ResponsibilitiesÂ
Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.Â
Review patient charts to obtain relevant clinical documentation needed to support authorization requestsÂ
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.Â
Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.Â
Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary. Â
Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.Â
Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements.Â
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.Â
Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.Â
Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.Â
Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.Â
Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.Â
HS Diploma or GEDÂ required.Â
Sourced by ZipRecruiter
Outpatient health care
51 - 200 Employees
Birmingham, AL, US
1940