Ensure alignment between authorizations, claims received, and invoicing readiness * Identify process gaps and implement system and workflow improvements to increase efficiency * Establish and oversee ...
Ensure alignment between authorizations, claims received, and invoicing readiness * Identify process gaps and implement system and workflow improvements to increase efficiency * Establish and oversee ...
Director of Consolidation
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 ...
Director of Consolidation
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 ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
... process improvement throughout the assigned region. Minimum Qualifications: * Bachelor's degree in ... Experience managing concurrent review, medical necessity, payer authorizations, appeals, and ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
... process improvement throughout the assigned region. Minimum Qualifications: * Bachelor's degree in ... Experience managing concurrent review, medical necessity, payer authorizations, appeals, and ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
... process improvement throughout the assigned region. Minimum Qualifications: * Bachelor's degree in ... Experience managing concurrent review, medical necessity, payer authorizations, appeals, and ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
... process improvement throughout the assigned region. Minimum Qualifications: * Bachelor's degree in ... Experience managing concurrent review, medical necessity, payer authorizations, appeals, and ...
Patient Service Representative
Birmingham, AL · On-site
$16.50 - $20.75/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Patient Service Representative
Birmingham, AL · On-site
$16.50 - $20.75/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Intake Specialist
Vestavia Hills, AL · On-site
$17.75 - $23.75/hr
Obtains insurance authorizations in compliance with governmental and commercial payor requirements ... Processes initial drug orders in EMR as prescribed for the patient and creates delivery ticket.
Intake Specialist
Vestavia Hills, AL · On-site
$17.75 - $23.75/hr
Obtains insurance authorizations in compliance with governmental and commercial payor requirements ... Processes initial drug orders in EMR as prescribed for the patient and creates delivery ticket.
Patient Service Representative
Birmingham, AL · On-site
$16.50 - $20.75/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Patient Service Representative
Birmingham, AL · On-site
$16.50 - $20.75/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Intake Specialist
Birmingham, AL · On-site
$16.75 - $22.25/hr
Obtains insurance authorizations in compliance with governmental and commercial payor requirements ... Processes initial drug orders in EMR as prescribed for the patient and creates delivery ticket.
Quick apply
Intake Specialist
Birmingham, AL · On-site
$16.75 - $22.25/hr
Obtains insurance authorizations in compliance with governmental and commercial payor requirements ... Processes initial drug orders in EMR as prescribed for the patient and creates delivery ticket.
Through our robust product engineering, outstanding tooling capabilities and diverse process ... Work Authorization Applicants must be legally authorized to work in the United States at the time ...
Through our robust product engineering, outstanding tooling capabilities and diverse process ... Work Authorization Applicants must be legally authorized to work in the United States at the time ...
Through our robust product engineering, outstanding tooling capabilities and diverse process ... Work Authorization Applicants must be legally authorized to work in the United States at the time ...
Through our robust product engineering, outstanding tooling capabilities and diverse process ... Work Authorization Applicants must be legally authorized to work in the United States at the time ...
Patient Service Representative
$17.50 - $22.25/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Patient Service Representative
$17.50 - $22.25/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
... and authorization errors. * Analyze and resolve access issues impacting business operations. * Monitor role administration processes and identify opportunities for optimization and automation.
... and authorization errors. * Analyze and resolve access issues impacting business operations. * Monitor role administration processes and identify opportunities for optimization and automation.
Referrals, Authorizations, and Billing Support * Assists with obtaining referrals, pre-certifications, and hospital admissions when required. * Initiates special billing processes when applicable (e ...
Referrals, Authorizations, and Billing Support * Assists with obtaining referrals, pre-certifications, and hospital admissions when required. * Initiates special billing processes when applicable (e ...
Clerical
Hoover, AL · On-site
$14 - $18.25/hr
Processes all dictation, copies and forwards to referring doctor to include Medicare recerts. * Any ... Fill out workman's comp authorization form, be sure and obtain a(employer's name, file or claim ...
Clerical
Hoover, AL · On-site
$14 - $18.25/hr
Processes all dictation, copies and forwards to referring doctor to include Medicare recerts. * Any ... Fill out workman's comp authorization form, be sure and obtain a(employer's name, file or claim ...
Patient Service Representative
Homewood, AL · On-site
$17.50 - $22.25/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
New
Patient Service Representative
Homewood, AL · On-site
$17.50 - $22.25/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
New
Processes all dictation, copies and forwards to referring doctor to include Medicare recerts. * Any ... Fill out workman's comp authorization form, be sure and obtain a(employer's name, file or claim ...
Processes all dictation, copies and forwards to referring doctor to include Medicare recerts. * Any ... Fill out workman's comp authorization form, be sure and obtain a(employer's name, file or claim ...
Patient Service Representative
Birmingham, AL · On-site
$16.50 - $20.75/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Patient Service Representative
Birmingham, AL · On-site
$16.50 - $20.75/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Patient Service Representative
Birmingham, AL · On-site
$16.50 - $20.75/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Patient Service Representative
Birmingham, AL · On-site
$16.50 - $20.75/hr
Process Requests and Filing of Patient Records Requirements: * 1-4 Years Experience in Medical Office Setting or Hospital * Experience in Authorizations and Insurance Verification Preferred * Ability ...
Access Specialist - Days
Birmingham, AL · On-site
This role ensures a seamless registration process by scheduling procedures, securing necessary authorizations, and maintaining complete and organized patient records, all while providing exceptional ...
Access Specialist - Days
Birmingham, AL · On-site
This role ensures a seamless registration process by scheduling procedures, securing necessary authorizations, and maintaining complete and organized patient records, all while providing exceptional ...
Responsible for collecting a wide range of specimens and preparing them for transfer to processing ... Not Authorized
Responsible for collecting a wide range of specimens and preparing them for transfer to processing ... Not Authorized
Authorization Processor information
See Leeds, AL salary details
$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
How much do authorization processor jobs pay per hour?
What is the difference between Authorization Processor vs Claims Processor?
| 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.
What is an authorization processor?
What are the key skills and qualifications needed to thrive as an authorization processor, and why are they important?
What are the most common challenges faced by authorization processors, and how can applicants prepare for them?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 9 days ago
NaphCare rating
6.2
Based on 48 frontline employees who took The Breakroom Quiz
699th of 887 rated healthcare providers
Job description
NaphCare has an excellent opportunity for a Director of Consolidation to join our Corporate Headquarters in Birmingham, AL.
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare.
**This is not a remote position**
Responsibilities- Lead and develop consolidation staff, establishing clear expectations, accountability, and performance standards
- Drive strategic initiatives that improve consistency, scalability, and operational performance across NaphCare sites
- Foster a culture of continuous improvement, collaboration, and results-driven execution
- Oversee the end-to-end authorization lifecycle using system tools (OE/QC) to ensure accurate tracking, follow-up, and close-out
- Monitor key metrics including authorization aging, turnaround times, and completion rates
- Ensure alignment between authorizations, claims received, and invoicing readiness
- Identify process gaps and implement system and workflow improvements to increase efficiency
- Establish and oversee processes to ensure claims accuracy, completeness, and compliance
- Validate alignment of UB-04 and CMS-1500 claims with authorizations and supporting documentation
- Monitor error trends and implement corrective actions to reduce rework and improve quality
- Ensure claims are properly reviewed, organized, and designated as ready for invoicing
- Analyze reports, dashboards, and audit results to drive performance and ensure benchmarks are met
- Ensure data integrity across systems and reporting to support accurate decision-making
- Oversee workload prioritization, resource allocation, and high-volume workflow management
- Lead initiatives to streamline processes, improve turnaround times, and enhance productivity
- Partner with Operations, IT, and Leadership to ensure timely claims processing and invoicing
- Communicate effectively with senior leadership on performance, risks, and operational priorities
- Resolve escalations and remove barriers impacting claims and authorization workflows
- Oversee onboarding, training, and ongoing development aligned with NaphCare processes
- Ensure consistent execution of workflows, including shared inbox management and coverage planning
- Promote a culture of accuracy, accountability, and customer service excellence
- Provide leadership oversight for additional duties, special projects, and strategic initiatives
- 5+ years of medical claim experience, coding specialist preferred
- 3+ years of management experience
- Bachelors Degree
- Ability to work within a variety of software systems, excel pivot table skills required
Why Join NaphCare?
NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US and we are growing. If you have never considered a career in correctional healthcare, now may be the time. In addition to competitive salaries and generous employee benefits, we strongly support career advancement within the company.
NaphCare Benefits for Full-Time Employees Include:
- Health, dental & vision insurance that starts day one!
- Prescriptions free of charge through our health plan, beginning day one!
- Lowest Cost Benefits!
- Employee Assistance Program (EAP) services
- 401K and Roth with company contribution that starts day one!
- Tuition Assistance
- Referral bonuses
- Term life insurance at no cost to the employee
- Generous paid time off & paid holidays
- Free continuing education and CMEs
New graduates are encouraged to apply!
If you would like to speak with me to learn more about this position and NaphCare, apply directly to the position to initiate the application process, and I'll be in touch.
Equal Opportunity Employer: disability/veteran
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Employment Type: FULL_TIMEAbout NaphCare
Sourced by ZipRecruiter
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare. NaphCare offers competitive compensation! Our full-time teammates have a top-notch benefits package, which includes medical, dental, vision, FREE prescriptions, flexible spending account, company-paid life and AD&D insurance with voluntary life and AD&D options, ST & LT disability, 401(k) company contribution, 20 days Paid Time Off, paid holidays, tuition assistance, employee referral bonuses, etc.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Birmingham, AL, US
Year founded
1989