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Authorization Specialist Jobs (NOW HIRING)

Riverview Health

Authorization Specialist

Noblesville, IN · On-site

$17 - $22.50/hr

Description Job Summar y The Authorization Specialist is responsible for ensuring that payers are prepared to reimburse Riverview Health for scheduled services in accordance with the payer-provider ...

RIVERVIEW HOSPITAL

Authorization Specialist

Noblesville, IN · On-site

$17 - $22.50/hr

Job Summar y The Authorization Specialist is responsible for ensuring that payers are prepared to reimburse Riverview Health for scheduled services in accordance with the payer-provider contract. The ...

Riverview Health

Authorization Specialist

Noblesville, IN · On-site

$17 - $22.50/hr

Job Summar y The Authorization Specialist is responsible for ensuring that payers are prepared to reimburse Riverview Health for scheduled services in accordance with the payer-provider contract. The ...

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How much do authorization specialist jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for authorization specialist in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What is an authorization specialist?

An authorization specialist reviews insurance information and determines if any authorization or official confirmation is necessary before providing the services. The job title typically refers to specialists who review medical or hospital insurance information, but it may also apply to people determining authorization for automotive services. As an authorization specialist, you also perform prior authorization responsibilities, which entail determining if the insurance company even covers a given procedure or service. Your duties are to compile paperwork related to the patient or customer, assess their eligibility for particular services, communicate with the insurance provider, and track the progress of a case.

What are the key skills and qualifications needed to thrive as an authorization specialist, and why are they important?

To thrive as an Authorization Specialist, you need a solid understanding of insurance processes, medical terminology, and prior authorization procedures, typically supported by a high school diploma or higher and relevant healthcare experience. Familiarity with electronic health record (EHR) systems, payer portals, and authorization management software is essential. Attention to detail, strong organizational skills, and effective communication are crucial soft skills for this role. These competencies ensure accurate, timely approvals and efficient coordination between providers, payers, and patients, directly impacting patient access to care and revenue cycle management.

How does an authorization specialist typically collaborate with healthcare providers and insurance companies during the pre-authorization process?

Authorization Specialists play a key role in ensuring that medical procedures and treatments are approved by insurance providers before they are performed. They regularly communicate with healthcare providers to gather necessary clinical documentation and verify patient information. Additionally, they interact with insurance companies to submit requests, clarify requirements, and follow up on pending authorizations. Strong organizational skills and attention to detail are essential, as Authorization Specialists must track deadlines and manage multiple cases simultaneously while ensuring compliance with regulations and policies.

What is the difference between Authorization Specialist vs Medical Billing Specialist?

AspectAuthorization SpecialistMedical Billing Specialist
CredentialsTypically requires certification in medical billing or coding, such as CPC or CCSOften holds certifications like CPC, CCS, or CPC-H
Work EnvironmentHospitals, clinics, insurance companies, healthcare providersMedical offices, billing companies, healthcare organizations
Primary ResponsibilitiesSecuring prior authorizations, verifying insurance coverageProcessing claims, coding, and billing patients or insurers

Authorization Specialists focus on obtaining approvals for treatments and verifying insurance coverage, while Medical Billing Specialists handle claims processing and coding. Both roles require similar certifications and often work in healthcare settings, but their core duties differ in the patient authorization versus billing process.

Do you need a degree to be a prior authorization specialist?

A prior authorization specialist typically does not need a formal degree but should have relevant healthcare knowledge, strong communication skills, and familiarity with insurance policies and medical terminology. Certifications in medical billing or coding can enhance job prospects, but many employers prioritize experience and skills over formal education.

How much does an authorization specialist make?

An authorization specialist in Florida typically earns between $40,000 and $55,000 annually, depending on experience, certifications, and the healthcare setting. Salaries can vary based on the employer and the complexity of authorization processes involved.
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Authorization Specialist jobs near you
Infographic showing various Authorization Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

Central Authorization Specialist

Henry Ford Health System

Troy, MI • On-site

$17 - $22.75/hr

Full-time

Re-posted 9 days ago

Henry Ford Health rating

7.0

Company rating: 7.0 out of 10

Based on 575 frontline employees who took The Breakroom Quiz

453rd of 898 rated healthcare providers

Job description

The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures and post-operative care. This will be done through quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with the underlying objective of managing the cost of care and providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in order to meet demands and support resources procuring authorizations. Under general supervision and in accordance with established policies and procedures the specific functions within this role include: Subject matter expertise of precertification and payor authorization processes. Ensure successful authorizations are procured by ordering physician offices through validation of work effort and education of procuring staff. Ensure feedback relevant to successful authorization procurement is obtained from back end coding, billing and denial management resources and distributed to ordering physicians and authorization procurement staff to promote continuous improvement. Application of process improvement methodologies. The responsibilities includes acting as a centralized resource for assigned specialty across all sites of practice to ensure standardized and consistent procurement of authorizations. 

EDUCATION/EXPERIENCE REQUIRED: 

  • High school diploma or 3-5 years of related experience/training (or equivalent combination of education and experience) required
  • 3-5 years of experience in a medical clinic, hospital, or corporate training setting required
  • Highly computer literate required
  • 2 years of healthcare insurance verification and/or billing experience required
  • 2-3 years of progressively responsible experience with organizational policies, procedures, operations, and high-level administrative responsibilities
  • Knowledge of:
    • Medical coding
    • Clinical terminology
    • Patient treatment plans for authorization purposes
    • Revenue cycle processes including billing, coding, charge capture, and reimbursement preferred
    • Hospital operations, utilization management, case management, and managed care reimbursement preferred
  • Ability to:
    • Interpret RN/physician notes to obtain authorizations
    • Identify and communicate authorization requirements or roadblocks to clinical staff
    • Interpret insurance records and related documentation
    • Work independently and exercise sound judgment with physicians, payors, patients, and families
    • Prioritize multiple tasks and responsibilities
    • Work effectively with all levels of management
  • Additional coursework in business, computers, or healthcare administration preferred
  • Experience in a medical or surgical specialty clinic preferred
  • Strong:
    • Organizational and time management skills
    • Oral and written communication skills
    • Analytical and data management skills
    • Interpersonal communication and negotiation skills
  • Experience interacting with clinicians and finance personnel
 
 
 
 

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About Henry Ford Health

Sourced by ZipRecruiter

Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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