Average salary: $101,801 /yearly

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  • $19 - $21 per hour

     ...treatments. This role focuses on confirming coverage, securing authorizations, and ensuring accurate documentation to support timely billing...  ...and benefits for ongoing specialty treatments Obtain prior authorizations and referrals as required by payers Accurately... 
    Suggested
    Contract work
    Casual work
    Local area
    Immediate start
    Monday to Friday

    Addison Group

    Phoenix, AZ
    2 days ago
  • $24 - $28 per hour

     ...this could be the perfect role for you. Our Core Values People‑obsessed Passionate Builder Grateful Position Summary The Prior Authorization Specialist is a vital team member responsible for efficiently managing the prior authorization process to ensure seamless... 
    Suggested
    Hourly pay
    Local area

    Aleracare

    Phoenix, AZ
    1 day ago
  • 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

    Medix™

    Phoenix, AZ
    5 days ago
  • 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.... 
    Suggested

    Phoenix Virtual Solutions

    Phoenix, AZ
    1 day ago
  • $20 - $27 per hour

    Location: Phoenix, 85016 Pay: $20 - $27 We’re seeking an experienced Authorization Specialist to join a growing healthcare team. This role focuses on surgical prior authorizations, insurance verification, and accurate documentation to support the scheduling team. What... 
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    The Intersect Group

    Phoenix, AZ
    5 days ago
  • $105.81k - $138.89k

     ...for the flawless execution of high-impact programs like Gold Carding, Provider Incentive Programs, and the maintenance of our Prior Authorization (PA) List. You will ensure that every program is operationally sound, regulatory compliant, and scales effectively as our... 
    Suggested
    Full time
    Work at office
    Flexible hours
    Shift work

    Oscar Health

    Tempe, AZ
    4 days ago
  • $105.81k - $138.89k

     ...a UM Program Operations Manager to join its Strategy team. This remote position requires expertise in program management and prior authorization processes. Responsibilities include executing programs like Gold Card, ensuring compliance with regulations, and developing standard... 
    Suggested
    Remote job

    Oscar Health Insurance

    Phoenix, AZ
    5 days ago
  • $37.66 - $44.33 per hour

     ...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical...  ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will... 
    Suggested
    Hourly pay
    Temporary work
    Remote work

    Argonaut Management Services, Inc

    Phoenix, AZ
    5 days ago
  • The Intersect Group is looking for an experienced Authorization Specialist in Phoenix, Arizona. The position involves verifying insurance eligibility, processing prior authorizations, and ensuring accurate documentation. Candidates should have at least 2 years of experience... 
    Suggested

    The Intersect Group

    Phoenix, AZ
    5 days ago
  •  ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review... 
    Suggested
    Full time
    For contractors
    Apprenticeship
    Work experience placement
    Internship
    Remote work
    Work from home
    Home office
    Weekday work

    Humana

    Phoenix, AZ
    16 days ago
  •  ...Job Description Job Description TTF is recruiting for an Authorizations Coordinator to work for a well-respected specialty practice in Phoenix, AZ. This is a contract to possible hire, Monday-Friday 8:00am - 5:00pm position.   Qualified candidates will have... 
    Suggested
    Contract work
    Work at office
    Monday to Friday

    TTF

    Phoenix, AZ
    29 days ago
  • $17 - $20 per hour

     ...patient calls related to test results, medication refills, and referral requests under the direction of the provider. Manages prior authorization for prescriptions. Schedules patient appointments according to guidelines as defined by standard work. Participates... 
    Suggested
    Hourly pay
    Full time
    Monday to Friday

    Skin Care Specialists PLLC

    Tempe, AZ
    8 days ago
  •  ...procedures -Set up surgical trays -vasectomy -cystoscopy  -bladder scans -urine dipsticks -Surgery scheduling -Prior Authorizations -Catheter Changes -Inventory  -bladder ultrasounds  -Chart prep- faxes, phones, and emails daily  SALARY DOE Upon... 
    Suggested
    Work at office

    Central Az Urologists

    Phoenix, AZ
    a month ago
  •  ...Insurance Authorization Representative NOW HIRING INSURANCE AUTHORIZATION REPRESENTATIVE - REMOTE ABOUT US Blue Cloud is the largest pediatric...  ...CPT/CDT code discrepancies (as assigned), and contact patient prior to appointment if there are any insurance/authorization issues... 
    Suggested
    Full time
    Work at office
    Local area
    Immediate start
    Remote work
    Home office
    Monday to Friday
    Day shift

    Blue Cloud Pediatric Surgery Centers LLC

    Phoenix, AZ
    1 day ago
  • $26.41 - $51.49 per hour

    Molina Healthcare is seeking an RN with at least 2 years of experience in hospital acute care for a remote role supporting the Arizona State Plan. Key responsibilities include assessing inpatient services, analyzing clinical requests, and collaborating with healthcare teams...
    Suggested
    Hourly pay
    Remote work

    Molina Healthcare

    Phoenix, AZ
    1 day ago
  •  ...Prior Authorization Specialist PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts. Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup, pioneering the first Software... 
    Full time
    Work at office
    Remote work
    Monday to Friday
    Shift work

    PHIL, Inc.

    Scottsdale, AZ
    3 days ago
  • $26.41 - $51.49 per hour

     ...Arizona state Plan. We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient. Candidates with a Behavioral Health background are highly preferred. Further details to... 
    Hourly pay
    Work experience placement
    Work at office
    Remote work
    Monday to Friday
    Weekend work

    Molina Healthcare

    Avondale, AZ
    3 days ago
  • $19.11 - $25.08 per hour

     ...Job Description Job Description Hi, we're Oscar. We're hiring a Prior Authorization Pharmacy Technician to join our Pharmacy Tech team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our... 
    Hourly pay
    Full time
    Work experience placement
    Remote work
    Work from home
    Home office

    Oscar Health

    Tempe, AZ
    15 days ago
  •  ...Job Posting Location 9520 West Palm Lane, Suite 150-A, Phoenix, AZ, 85037, United States Job Category Prior Authorization, Referals, Insurance Verification Industry Cardiology, Cardiology Employee Type Full Time-Non-Exempt Required Degree High school... 
    Full time

    Heart One Associates

    Phoenix, AZ
    23 hours ago
  •  ...to join their team in Phoenix, Arizona. In this role, you will manage the execution of vital programs like Gold Carding and Prior Authorization. Responsibilities include ensuring compliance with mandates and overseeing cross-functional implementations. Candidates should... 

    Oscar Health

    Phoenix, AZ
    2 days ago
  •  ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate... 
    Work at office
    Remote work

    Molina Healthcare

    Mesa, AZ
    2 days ago
  •  ...insurance or other healthcare related field ~1 year' Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG) Level 3 ~5 years' Experience in... 
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area
    Remote work
    1 day per week

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    4 days ago
  • 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

    Phoenix Virtual Solutions

    Phoenix, AZ
    1 day ago
  •  ...including vital signs, visit documentation, and chart accuracy Coordinate with insurance providers to obtain referrals and prior authorizations Assist providers with medical treatments and procedures Support patient follow-up, including test results and post-... 
    Work at office
    Local area
    Flexible hours

    Revere Medical

    Goodyear, AZ
    16 hours ago
  •  ...reason for visit, and ensuring patient information/notes are accurate. Working with insurance companies obtaining referrals, prior authorizations, etc. Assisting with medical treatments and procedures as needed Following up with patients on test results, post... 
    Work at office
    Local area

    Revere Medical

    Chandler, AZ
    3 days ago
  •  ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate... 
    Work at office
    Remote work

    Molina Healthcare

    Mesa, AZ
    2 days ago
  • $19 - $22 per hour

     ...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Responsibilities include:... 

    AssistRx

    Phoenix, AZ
    3 days ago
  •  ...notes are accurate. Collect co-payments from patients at check-in Working with insurance companies, obtaining referrals, prior authorizations, etc. Assisting with medical treatments and procedures as needed Following up with patients on test results, post-... 
    Work at office
    Local area

    Revere Medical

    Tucson, AZ
    3 days ago
  • $105.82k - $138.89k

     ...ongoing support ~ Experience using data and metrics to drive improvements in programs Bonus points: Experience with Prior Authorization lifecycles, medical benefits management, and the operational nuance of Utilization Management Master's Degree PMP... 
    Full time
    Work at office
    Flexible hours

    Oscar Health

    Tempe, AZ
    8 hours ago
  • $19 - $22 per hour

     ...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through... 
    Temporary work
    Local area
    Immediate start

    AssistRx

    Phoenix, AZ
    10 days ago