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Authorization Processor Jobs (NOW HIRING)

New England Life Care

Authorization Specialist

Woburn, MA · On-site

$21 - $22/hr

The authorization specialist works closely with the clinical review department to obtain documentation needed to complete the authorization process. The authorization specialist also obtains needed ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

dekalbcsb

Authorization Specialist

Decatur, GA

$17.50 - $23.50/hr

The Authorization Specialist will be responsible for the daily processing of all authorization files/requests on a daily basis. Works closely with each clinician on any requests that are on review.

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

dekalbcsb

Authorization Specialist

Decatur, GA · On-site

$17.50 - $23.50/hr

The Authorization Specialist will be responsible for the daily processing of all authorization files/requests on a daily basis. Works closely with each clinician on any requests that are on review.

BJC HealthCare

Authorization Spec-oncology

Saint Louis, MO · On-site

$17.75 - $25.56/hr

Overview Preferred Qualifications Role Purpose This role is critical in the financial clearance process which assists BJC hospitals enterprise wide in securing the appropriate authorization and/or ...

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Authorization Processor information

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How much do authorization processor jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for authorization processor in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 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.
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What job categories do people searching Authorization Processor jobs look for? The top searched job categories for Authorization Processor jobs are:
Authorization Processor jobs near you
Authorization Coordinator

Authorization Coordinator

Southern Oregon Orthopedics, Inc

Medford, OR • On-site

$18 - $21/hr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 18 days ago

Southern Oregon Orthopedics rating

8.3

Company rating: 8.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Description:

Job: Authorization Coordinator

Pay: $18-21/hr

Position Summary:
The Authorization Coordinator is responsible for reviewing, processing, and coordinating prior authorization and referral requests. This role ensures that all medical services comply with clinical guidelines, insurance benefit requirements, and regulatory standards. The Authorization Coordinator works closely with providers, members, and internal teams to ensure accurate and timely determinations.


Primary Responsibilities

  1. Determine Authorization Requirements
    Assess the need for prior authorization based on plan type, ICD-10 codes, CPT/HCPCS codes, and place of service.
  2. Review Requests
    Review, research, and process referral and authorization requests, routing them according to established guidelines.
  3. Provider & Member Communication
    Interact with providers and medical assistants to obtain complete and accurate information for processing authorizations and referrals.
  4. Complex Case Escalation
    Consult with the Supervisor for difficult or complex authorization cases.
  5. Cross-Department Communication
    Communicate effectively with medical support staff and internal departments to ensure timely and accurate processing.
  6. Benefits & Contract Analysis
    Analyze referrals in accordance with patient insurance benefit limits and provider contract requirements.
  7. Decision Processing
    Complete approval or denial determinations professionally, ensuring all actions are documented clearly.
  8. Correspondence Management
    Send required correspondence to providers, their staff, and internal departments to obtain additional information or support appeal processes when needed.
  9. Data Verification
    Confirm referral details including authorization maximums, limitations, and required documents.
  10. Regulatory Compliance
    Maintain strict adherence to HIPAA and all privacy and security regulations.
  11. Problem Resolution
    Identify issues within the authorization process and research alternative solutions as needed.
  12. Team Collaboration
    Collaborate with team members to maintain efficient workflow and meet productivity and compliance standards.
  13. Additional Tasks
    Perform other duties or special projects as assigned by the Supervisor or Manager.
  14. Policy & Procedure Adherence
    Utilize all applicable policies, procedures, and reference materials when reviewing and processing authorization requests.
  15. Accurate Documentation
    Maintain clear, accurate patient notes when a request is not approved, is pending additional information, or is routed for further review.

Benefits:

  • Dental insurance
  • Disability insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
Requirements:

Experience:

  • Insurance verification: 1 year (Preferred)
  • Medical billing: 1 year (Preferred)

Work Location: In person


Join our team as an Authorization Coordinator, where you’ll review and process prior authorizations and referrals to support timely patient care. Ideal candidates have strong attention to detail, excellent communication skills, and experience working with insurance plans or medical terminology.