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Surgical Authorization Specialist

Clifton, NJ 07014

Posted: 11/03/2025 Employment Type: Direct Hire Job Category: Non-Clinical Healthcare Job Number: 10502 Pay Rate: 65,000

Job Description


Insurance Authorization Specialist

We are seeking an Insurance Authorization Specialist to manage surgical approvals for complex cases, including Workers’ Compensation, Motor Vehicle Accidents, Personal Injury Protection, and out-of-network carriers. This role involves coordinating with attorneys, adjusters, and insurance providers to secure timely authorizations and prevent surgical delays.

What's in it for you?
  • Salary: $65,000/year
  • Location: Clifton, NJ
  • Benefits: 80% employer-paid health, 100% dental & vision, Fully funded pension + 50% 401(k) match, 3 weeks PTO

Insurance Authorization Specialist Responsibilities:
  • Obtain and track authorizations for surgical cases.
  • Review clinical and legal documents (e.g., operative notes, letters of medical necessity).
  • Communicate with attorneys, adjusters, and case managers.
  • Handle denied authorizations and appeals.
  • Maintain accurate EMR records and stay current on WC/PIP regulations.

Insurance Authorization Specialist Qualifications:
  • 2+ years’ experience with medical/surgical authorizations (WC, MVA, PIP preferred)
  • Knowledge of out-of-network processes, medical terminology, and surgical procedures
  • Strong organizational and communication skills; bilingual a plus

If interested, apply today to join our client's team!

HumanHire is a national executive search and staffing firm with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. We have multiple highly specialized divisions. Within the Healthcare industry, we specialize in the following and more –
  • Healthcare Administration & Management
  • Medical Billing & Coding
  • Behavioral & Mental Health
  • Nursing
  • Allied Health Professionals
  • Health Information Technology (HIT)
  • Rehabilitation Services
  • Laboratory & Diagnostic Services
  • Emergency & Critical Care
  • Public Health & Community Health
  • Revenue Cycle Management
  • Patient Access & Registration
  • Medical Office Administration
  • Hospital & Clinic Operations
  • Compliance & Risk Management
  • Managed Care & Insurance Operations
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About Clifton, NJ

Start your next career adventure in Clifton, New Jersey! This vibrant city, conveniently located near New York City, offers a wealth of job opportunities across various industries. Clifton boasts a rich tapestry of diverse cultures, a bustling arts scene featuring venues like the Clifton Arts Center, and a delicious array of dining options from classic diners to international cuisines. With easy access to major highways and public transportation, including the nearby MetLife Stadium, home to the New York Giants and New York Jets, Clifton provides an exciting backdrop for professional growth and personal enrichment. Explore our job listings today and discover why Clifton is the perfect place to take your career to new heights!