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Authorization Processor Jobs (NOW HIRING)

RALEIGH MEDICAL GROUP PA

Authorization Specialist

Raleigh, NC · On-site

$16 - $21.25/hr

Maintain current knowledge of payer guidelines and authorization processes * Collaborate with clinical and front office staff to coordinate patient care efficiently * Communicate workflow updates and ...

BJC HealthCare

Authorization Spec-oncology

Saint Louis, MO · On-site

$16.25 - $21.75/hr

Key components of the process include validation of the following: patient information, scheduled test/surgery information, and insurance information. Ensures that the authorization detail placed in ...

PruittHealth

Authorization Specialist

Norcross, GA · On-site

$16.50 - $22/hr

... process. 4. Addresses issues related to denials, discrepancies, and incomplete information in a timely manner. 5. Remains abreast of changes in insurance, prior authorization requirements, and ...

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How much do authorization processor jobs pay per hour?

As of Jun 8, 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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Authorization Processor jobs near you
Authorization Specialists

Authorization Specialists

Healthcare Outcomes Performance Company (HOPCo)

Fort Myers, FL • On-site

$15.75 - $21/hr

Full-time

Posted 19 days ago

Job description

Essential Functions

  • Monitor the authorizations of upcoming cases on physician’s calendars ensuring authorization for office visits is obtained in a timely and accurate manner.
  • Document authorizations and progress of authorizations in the patient's chart. Enter information within case management.
  • Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing working relationships with both internal and external customers.
  • Work with the department manager to respond to and reduce complaints timely and professionally.
  • Ensure strict confidentiality of all health records, member information and meet HIPPA guidelines.

Required Skills/ Abilities

  • Effective in organization and billing requirements and authorization process
  • Medical terminology.
  • Skill in using computer programs and applications including Microsoft/ Excel, Microsoft Word and Outlook.
  • Knowledge of insurance plans and procedures.
  • Adherence to all policies and procedures, including standards for safety, attendance, punctuality, and personal appearance.
  • Must be able to establish and maintain effective working relationships with management and peers.
  • Ability to multitask in a fast-paced environment. Must be detailed oriented with strong organizational skills.
  • Ability to work independently and demonstrate the ability to analyze data

Physical and Mental Demands

  • Prolonged periods of sitting at a desk and working on a computer.
  • Manual dexterity using a calculator, keyboard, photocopier, and other office equipment.
  • Lifting of up to 15 pounds unassisted. Frequent bending, reaching, and repetitive hand movements standing, walking, squatting and sitting.
  • Ability to view computer screens for long periods of time.

Duties/ Responsibilities

  • Contact the insurance company to see if authorization is needed for injections, images, in-office procedures, and visits.
  • Obtain and document the authorization and benefit details and attach the information to claim for said dates of service.
  • Work with Medical Assistants and advise them of the status of authorization.
  • Maintain copies of the requests and the results by reference number and proof documents.
  • Perform related work as required and other projects and duties as assigned.
  • Assist in the insurance verification process as well as requesting referral authorization.
  • Contact patients to obtain accurate insurance information.
  • Participate in educational activities and attend monthly staff meetings.
  • Maintain real-time authorization chats via Athena and Outlook.
  • Responsible for medication sign out, order requests, and claim review.
  • Orders, receives, and maintain inventory of drugs and ensures their security within the facility.
  • Restock, label, collect, dispense and maintain inventory/ submission requests for medications.
  • Keeping track of follow ups and schedule patients accordingly.
  • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue.

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