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
- ...Employee Referral Program.Job SummaryPerform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes... ...all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement.Communicate...SuggestedFull timeContract workTemporary workLocal areaImmediate startFlexible hours
- ...Overview Due to growth we are adding an Intake Specialist to our team! Under direction from the Assoc. Manager, Patient Support... ...and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialty Pharmacist...SuggestedRemote workFlexible hoursShift work
- ...Prior Authorization Specialist About OrthoArizona: At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level...SuggestedFull 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...SuggestedRemote work
$26 per hour
...importantly, rewarding and recognizing our employees! Overview This position verifies insurance coverage, benefits and obtains prior authorization for services. $1,000 sign-on bonus available (terms apply) Bonus paid after 90 days; repayment required if employment...SuggestedHourly payWork at officeRelocation package- 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...
$750 per month
Overview Due to growth, we are adding a Specialist III, Prior Authorization to our team. Under direction from the Supervisor, Prior Authorization, and other leaders at Lumicera, the Specialist III, Prior Authorization is primarily responsible for coordinating and directing...Flexible hours- 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...
$94.5k - $148.06k
..., Las Vegas metro and New Mexico. The Field Reimbursement Specialist (FRS) to serves as a subject‑matter expert on reimbursement... ...this position, expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential, as the...Full timeWork at officeLocal areaNight shift- 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
- American Vision Partners (AVP) is hiring for an Insurance Verification Specialist in Phoenix. This role verifies coverage, obtains prior authorizations, and communicates with plans and patients to ensure accurate billing and smooth patient care. Qualifications include...Relocation package
- OrthoArizona is seeking a Surgical Prior Authorization Specialist in Peoria, AZ. The role focuses on verifying insurance authorization requirements, ensuring documentation supports medical necessity, and submitting authorizations with correct CPT and diagnosis codes. You...
- Prior Authorization Specialist Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer policy, step therapy requirements, and paperwork so the patient never had to. We’re looking for someone who thrives on solving that puzzle quickly...Local area
- 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...
$22 per hour
...Rate USD 22 hourly Description: Responsibilities: The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members,... ...assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...Remote jobHourly payContract workWork at office- ...and collaboration. Job title: Referral Specialist, Birth to Five Center of Excellence What... ...within our EMR system Complete pre-authorized requests and Rx script requests Route referrals... ...skills Knowledge in EMR software, prior authorizations, proficient in Microsoft...Full timeWork at office
- Lumicera is seeking a Specialist III, Prior Authorization in Phoenix to lead the day-to-day operations of the Prior Authorization team and coach teammates to achieve KPIs and provider/patient satisfaction. You will train staff on RxVector, NCRX, Lighthouse, Banjo and Cover...
$23 per hour
...Job Description Title: Medicaid Denial Specialist II Location: Remote – Nevada or... ...review clinical information, interpret authorization determinations, and prepare denial letters... ...record review, insurance claims, prior authorizations, utilization management,...Hourly payRemote workMonday to FridayShift workWeekend work- ...--HUD's Office of Administration is the place for you! The official title of this position is Supervisory Government Information Specialist. As a Supervisory Privacy Specialist, you will: Plan, manage, organize and supervise all operations and activities of the Privacy...Full timeTemporary workPart timeWork experience placementWork at office
- Job Summary Associate Event Specialist will serve as the primary point of contact for all PRO EM Associates and is responsible for ensuring all Associates have the necessary information, equipment, and training to be successful while working at any event. Responsibilities...Full timeWork at officeFlexible hoursAfternoon shift
- ...should be heard, regardless of seniority or tenure. Position Pacific Office Automation is seeking an Associate Production Print Specialist at our Phoenix, AZ office. Responsibilities Work with POA Production Print Specialists and salespeople in driving and maintaining...Full timeWork at office
- ...BSA/AML Specialist Full Time Clerical Corporate Center, Glendale, AZ, US Credit Union West has been named a ‘Top Company to Work for in Arizona’ for the 14th year in a row (2014-2026)! This prestigious award announced by BestCompaniesAZ is earned by achieving stellar...Full timeWork at office
$30 per hour
...looking for a detail-oriented Transcription Specialist to join our annotation team on-site in... ...commit to a full 40-hour work week Prior transcription, captioning, or QA experience... ...position Rate: $30/hour Must be authorized to work in the U.S. #J-18808-LjbffrContract workFor contractorsMonday to Friday3 days per week- ...include, but are not limited to: Daily communication with Senior Coordinator - Minor League Strength & Conditioning, Minor League S&C Specialists, Minor League Health Staff, Team Manager, and Coaches. Assist with the implementation of strength and conditioning program...
$54.51k - $81.77k
...weekends, holidays, on-call basis and availability over the normal duty hours. Applicants will be required to undergo drug testing prior to employment and will be subject to further drug and alcohol testing throughout their period of employment in accordance with the...Hourly payWork at officeRotating shiftWeekend work- ...Safety Specialist At Sparklight/Cableone and our family of brands, we keep our customers and associates connected to what matters most. For our associates, that means: a thriving and rewarding career, respect for the communities where they live and work, a focus on...Work at officeLocal areaRemote workNight shiftAfternoon shift
$44k - $50k
...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Prevention Specialist Phoenix, AZ, US Salary Range: $44,000.00 To $50,000.00 Annually POSITION SUMMARY The Prevention Specialist position...Work at officeAfternoon shift$85k - $100k
...eliminate or minimize risks, including those related to ergonomics, chemical handling, and emergency preparedness. Job Details EHS Specialist Position: EHS Specialist Industry: Semiconductor Manufacturing Location: Phoenix, AZ Salary: $85K-100K Status: Full Time Work...Full timeLocal area- ...Transfer SpecialistThe Transfer Specialist is responsible for the care, removal, and transport of deceased. This position will collaborate with other team members as required to ensure processes and procedures remain in compliance. Safely and courteously drive company...Work experience placementCasual workLocal areaNight shift
$28.94 - $33.41 per hour
...ambitious goal to become the benchmark of safety excellence across all industries in which we operate. As a Workplace Health & Safety Specialist (WHSS), you'll be at the forefront of transforming workplace safety culture at one of the world's most innovative companies. Your...Hourly payFlexible hoursShift workNight shiftWeekend work
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