Prior Authorization Specialist
Phoenix Virtual Solutions
Position titlePrior Authorization SpecialistDescriptionThe Prior Authorization Specialist provides essential clinical and administrative support by coordinating patient care activities, managing prior authorizations, and ensuring accurate documentation across systems. This role works closely with providers, pharmacists, and patients to maintain smooth workflows, timely approvals, and high-quality service in a fast-paced healthcare environment.Responsibilities· Process and manage prior authorizations for medications and procedures.· Book, confirm, and manage patient appointments.· Coordinate and communicate with pharmacists regarding medication-related needs.· Enter, update, and maintain accurate patient information in the EMR.· Communicate with patients for follow-ups, reminders, and general inquiries.· Prepare and handle prescriptions (Rx) as directed by providers.· Track authorization status and follow up to ensure timely approvals.· Maintain organized records and documentation for audits and compliance.· Support efficient patient workflow and daily clinic operations.· Utilize communication tools to collaborate with internal and external teams.· Perform other administrative and clinical support duties as assigned.Qualifications· Proven experience as a Medical Assistant or Prior Authorization Specialist.· Familiarity with prior authorization processes for medications and procedures.· Experience with AdvancedMD EMR (preferred).· Experience using CoverMyMeds or similar authorization platforms.· Strong English communication skills, both written and verbal.· Spanish-speaking ability preferred but not required.· Highly organized, detail-oriented, and proactive work style.· Comfortable multitasking and working in a fast-paced, tech-driven environment.· Ability to use communication platforms such as RingCentral.· Reliable workstation setup, including a secondary monitor.Job LocationRemote work possible #J-18808-Ljbffr Phoenix Virtual Solutions
- ...Hiring an on-site Prior Authorization Specialist in Phoenix, AZ! Schedule: M-F 8 - 4:30 PM MST Day to day: Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorization for services Processes requests for prior authorization...Suggested
$24 - $28 per hour
...Prior Authorization Specialist Aleracare Phoenix, Arizona, United States About this position About Pure Infusion Pure Infusion is a fast-growing healthcare company and a leader in chronic-condition infusion therapy. We deliver a personalized, private, and meaningful infusion...SuggestedHourly payLocal areaRemote workMonday to Friday- Pure Infusion is seeking a detail-oriented Prior Authorization Specialist to manage a caseload of active authorizations, navigate systems like Salesforce, WeInfuse, and AMD, and collaborate with clinicians to secure timely treatments for patients. This role emphasizes...SuggestedRemote job
- Position Summary The Prior Authorization Specialist is responsible for securing timely insurance authorizations for scheduled and unscheduled healthcare services to ensure reimbursement, regulatory compliance, and continuity of patient care. This role reviews clinical...Suggested
- ...for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions... ...reimbursement issues. This position also provides support for Prior Authorizations(PA) for an assigned caseload and helps navigate the appeals...Suggested
$18 - $32 per hour
...Intake Specialist This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S.... ...is also responsible for obtaining the patient's benefits, prior authorizations and/or predeterminations, as well as communicating with the...Remote jobHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayShift work$26 per hour
...Arizona, seeks a candidate for an insurance verification position. Responsibilities include contacting insurance plans, obtaining prior authorizations, and ensuring compliance with HIPAA guidelines. The ideal candidate has a high school diploma and 1-2 years of relevant...Hourly pay- The CORE Institute | HOPCo is seeking a Surgical Authorization Specialist for a remote role. You will monitor upcoming surgical case authorizations... ...surgery schedulers, and maintaining HIPAA confidentiality. Prior authorization experience in healthcare is preferred. #J-18...Remote job
- Mt. Graham Regional Medical Center seeks a dedicated Prior Authorization Specialist to secure timely authorizations for services and ensure compliant reimbursement. You will review clinical data, liaise with payers, and document approvals in the EHR and billing systems...
- Tobii Dynavox is seeking a Prior Authorization Submitter to support our healthcare operations. This role focuses on preparing and submitting prior authorization packets, following up with payors, and maintaining accurate electronic records. The position supports insurance...Work at office
- OrthoArizona in Peoria, AZ seeks a detail-oriented Prior Authorization Specialist to join a large orthopedic team. You will verify insurance requirements, review documentation for medical necessity, and submit accurate authorizations to insurers using CPT/diagnosis codes...
- CVS Health Corporation is seeking a Technician I, Prior Authorizations to handle inbound calls from providers, pharmacies, members, and other callers. You will document reviews accurately and transfer clinical questions to the pharmacist team, while supporting outbound...
$18 - $22 per hour
## Authorization Specialist II, RCMApply: Phoenix, AZ Headquarters: Full time: Posted Yesterday: JR101496The Authorization Specialist II, RCM is... ...insurances, and at the beginning of each month where prior authorization is not required* At the beginning of every new...Full time- ...An orthopedic practice that is made up of over 70 premier specialists, specializing in sports medicine, joint replacement, arthroscopy... ...& Long-Term Disability 401(k) Plan Paid Time Off Position: Prior Authorization Specialist Location: Peoria (West Admin Hub), AZ Job Id:...Full timeTemporary work
- ...Office Representative to support our Metro Outpatient Clinic. The full-time role focuses on processing medication refills, prior authorizations, lab results, and coordinating prescriber schedules. We encourage Medical Assistants to apply. Join a team dedicated to compassionate...Full time
- Job Description Part-Time Authorization Specialist Cochise Sleep Center - Sierra Vista, AZ Cochise Sleep Center is looking for a dedicated and... ...portals and by contacting insurance companies. Obtain prior authorizations for sleep studies and related services. Confirm...Part time
- A healthcare services provider is seeking a Prior Authorization Specialist to coordinate patient care and manage prior authorizations. The role involves processing authorizations, managing patient appointments, and ensuring documentation accuracy. Applicants should have...Remote job
- Arizona Arthritis & Rheumatology Associates, P.C. is seeking an Infusion Prior Authorization Coordinator to join our team in Arizona. The role focuses on the financial and administrative coordination of physician-administered infusion therapies from order through treatment...
- ...Therapeutics is launching a field-based Patient Access Liaison (PAL) to support patients and HCP offices with insurance coverage, prior authorization, and affordability programs. The PAL will provide education, guidance, and escalation where needed to ensure patients begin...
- ...fulfilling and rewarding career. Job Summary The Lead Referral Specialist provides day-to-day support, peer guidance, and workflow... ...processing, referral documentation, payer requirements, prior authorization workflows, referral status management, and referral closure...Full timeWork at office
$89.59k - $197.46k
...currently seeking a Senior Associate, Credit Specialist to join our Audit practice.... ...conductAbility and willingness to travelMust be authorized to work in the U.S. without the need for... ...applicant's skills, job responsibilities, prior relevant experience, certain degrees and...H1bLocal area- ...Job Description Job Description Summary: The Prior Authorization Specialist will handle all aspects of prior authorizations and referrals, ensuring timely and accurate processing. This role requires a detail-oriented individual who thrives in a high-volume environment...Private practiceWork at office
$24 - $28 per hour
...with an organization that values performance, flexibility, and professional growth. We are actively seeking experienced Prior Authorization Specialists, with a strong preference for candidates located in the Phoenix area. First 2 weeks of training are onsite ....Remote jobHourly payMonday to Friday$24 - $28 per hour
...performance and business needs. My client, a leader patient-centered infusion and specialty-care platforms company is hiring Prior Authorization Specialists to work in Phoenix office. This position manages prior authorizations to support timely patient care. The...Permanent employmentTemporary workCasual workWork at officeLocal areaRemote workMonday to Friday- ...Requisition ID: req445 Location: Phoenix, AZ, United States Join Our Team! We are currently recruiting a Land Specialist to join our team and contribute to key projects in a dynamic and collaborative environment. This role is part of a global team working...Contract workWork at office
- About the Role: The BIM Specialist will assist the Estimating and Operations teams to provide accurate drawings of new or existing electrical... ...applicants for work visas. Applicants must be currently authorized to work in the United States for any employer. MYR Group...Weekly payTemporary workWork at officeImmediate startVisa sponsorshipWork visa
$16 - $20 per hour
...social mission to offer hope, is seeking an Enrollment & Retention Specialist to join our award-winning Alternative Education team and... ...to obtain a valid AZ state drivers license preferred. Prior experience working in an education and/or related marketing/business...Full timeWork at officeLocal areaFlexible hours- Description: Spirit Electronics is seeking an organized, detail-oriented, and technically capable E-Commerce Specialist to manage and support the day-to-day operations of Spirit Electronics’ online shopping cart and e-commerce platform. This position will be responsible...
$21.15 - $24.33 per hour
Description: CAN Community Health is now hiring a Program Specialist I Standard clinic hours are Monday-Thursday 8:00 am-5:30pm Friday 8:00 am-12:30 pm. This position requires hours of work outside normal operating hours including nights and weekends. Pay Rate:...Hourly payLocal areaImmediate startNight shift- ...follow us on LinkedIn . Job Summary Field Procedural Specialist supports and manages critical trial activities in the field... ...motivated with a high energy level. A current US work authorization is required. The above statements are intended to describe the...Full timeWork at officeRemote workWorldwide
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Prior Authorization Specialist. Be the first to apply!
- senior safety specialist Phoenix, AZ
- grocery specialist Phoenix, AZ
- localization specialist Phoenix, AZ
- agency management specialist Phoenix, AZ
- restaurant specialist Phoenix, AZ
- outreach specialist Phoenix, AZ
- renovation specialist Phoenix, AZ
- generation specialist Phoenix, AZ
- senior program specialist Phoenix, AZ
- maintenance specialist Phoenix, AZ






