Average salary: $74,499 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote workArgonaut Management Services, Inc
Phoenix, AZ7 days ago- ...possess substantial knowledge of insurance plans and strong communication skills, along with a minimum of two years in a healthcare setting. Responsibilities include verifying eligibility, obtaining prior authorizations, and enhancing patient interactions. #J-18808-Ljbffr...SuggestedFull time
Tucson Medical Center
Tucson, AZ2 days 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
- Baylor Scott & White Health in Phoenix, Arizona is looking for an Insurance Verification Specialist 2 to provide essential insurance benefit information to patients and healthcare staff. This role includes verifying insurance eligibility, financial clearance, and assisting...Suggested
- 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
- ...agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Prior Authorization Specialist responsible for communicating with insurance providers to verify patient eligibility, confirming coverage and...SuggestedTemporary workLocal area
Medix
Phoenix, AZ5 days ago - ...The Lead CSR works specifically on Held Sales report, Rx Expiration reports, Prior Authorization Expiration reports, Turning 65 reports, and Customer Billing Survey report to decrease held sales in centers that are ineffective with that function. Answers incoming calls...SuggestedWork at office
RadNet
Show Low, AZ2 days ago - ...legislative needs. The ideal candidate will have a PharmD or Bachelor of Science Pharmacy degree, a valid license, and experience in prior authorization. The position includes various benefits such as medical, dental, vision, and a 401(k) retirement plan. #J-18808-Ljbffr...SuggestedRemote work
Itlearn360
Phoenix, AZ5 days ago - ...within the State of Arizona. Purpose of the job Provide utilization and drug interaction of drug therapies to include review of prior authorization requests according to FEP member benefits and coverage criteria. Perform member specific interventions through provider...SuggestedFull timeWork experience placementWork at officeRemote workFlexible hoursShift work1 day per week
Dormont Manufacturing Company
Phoenix, AZ2 days ago $100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Phoenix, AZ4 days ago- ...HOPCo) is seeking a qualified candidate for managing surgical authorizations in Phoenix, AZ. Responsibilities include monitoring surgical case... ...years of experience in the healthcare field, with a focus on Prior Authorization and call center experience. Strong communication...Suggested
- ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization....SuggestedWork at officeImmediate start
Baylor Scott & White Health
Phoenix, AZ5 days ago - ...Position Summary: This position is responsible for obtaining benefits and prior authorizations for scheduled treatments/procedures. Responsible for educating patient on insurance coverage and benefits. Assess patients' financial ability; may educate patient on assistance...SuggestedWork at office
Palo Verde Cancer Specialists
Phoenix, AZ3 days ago - ...is responsible for verifying insurance eligibility, obtaining authorizations, and providing patient financial responsibility based on scheduled... ...Validate and obtain referrals, pre-certification and/or prior authorizations via fax, online, or telephone for scheduled appointments...SuggestedFull timeTemporary workWork at officeLocal areaMonday to Friday
RADIOLOGY LTD PLC
Tucson, AZ4 days ago - ...The CORE Institute is seeking a Procedure Authorization Specialist in Phoenix, Arizona. This full-time position requires two years of healthcare experience, particularly in prior authorization and insurance verification. The role involves monitoring surgical case authorizations...SuggestedFull time
The Core Institute
Phoenix, AZ3 days ago - ...Ophthalmology practice in Tucson, AZ is seeking an Eligibility and Insurance Authorization Specialist. Job Summary The Insurance Authorization Specialist is responsible for obtaining prior authorizations for medical procedures, and ensuring that all services are authorized...Permanent employmentFull time
$100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...Full timeLocal areaRemote workArgonaut Management Services, Inc
Phoenix, AZ4 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...Full timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Phoenix, AZ8 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...Full timeWork at officeFlexible hoursShift work$26 per hour
...Insurance Verification Specialist 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 ends within 6 months. Responsibilities...Hourly payRelocation package$20 per hour
...shift during this time frame. Description: The Referral and Authorization specialist is responsible for ensuring patients have been... ...experience with patient registration, scheduling, referrals and prior authorization - must be outside of pharmacy referrals ~ Call...Contract workTemporary workWork at officeRemote workShift workTEKsystems
Phoenix, AZ6 days ago- Medasource is seeking a Prior Authorization RN based in Phoenix, Arizona, responsible for managing medical prior authorization requests to ensure necessary services while complying with health plan policies. The ideal candidate will have an active RN license, experience...
$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 payWork experience placementWork at officeRemote workMonday to FridayWeekend workMolina Healthcare
Tucson, AZ5 days ago- ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Complete appropriate payer forms related to notification and authorization. Coordinate...Work at officeImmediate start
$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 workLocal areaImmediate startAssistRx
Phoenix, AZ3 days 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...Hourly payRemote workMolina Healthcare
Phoenix, AZ3 days ago- ...benefits verifications specific to air ambulance criteria. Investigate and process member appeals. Gather and submit prior authorizations, medical records, and required documentation. Collaborate with patients, families, employers, and insurance providers via...Temporary workWork at officeLocal areaRemote work
Medix
Scottsdale, AZ5 days ago - ...collaborate with multidisciplinary teams to ensure quality care. A strong background in hospital acute care and experience with prior authorization is preferred. Candidates must have an active Arizona RN license and at least 2 years of relevant experience, with skills...Remote work
Molina Healthcare
Glendale, AZ4 days ago - ...to be performed, within the State of Arizona. PURPOSE OF THE JOB Ensures accuracy and timeliness in the completion of prior authorization (PA) requests to meet contractual requirements and ensures all reviews utilize nationally recognized and evidence-based standards...Full timeWork experience placementWork at officeRemote work1 day per week
Blue Cross Blue Shield of Arizona
Phoenix, AZ4 days ago $106.2k - $225k
...support and input to clinical programs such as: Health Management (IDT), Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate, high quality, cost effective drug therapy; and to identify opportunities for improvement in...Hourly payFull timeTemporary workLocal areaRemote workShift workWeekend workHispanic Alliance for Career Enhancement
Phoenix, AZ7 days ago
