Average salary: $101,193 /yearly
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- 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
- ...Prior Authorization Specialist PHIL is looking for a full-time prior authorization specialist with a focus on pharmacy support for Monday through Friday shifts. About the company: Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup, pioneering...SuggestedFull timeWork at officeRemote workMonday to FridayShift work
Phil
Scottsdale, AZ4 days ago - ...cost estimates for all procedures and providing written estimates to patients at least three (3) days prior to their appointment. Communicating with the Prior Authorization department when patient insurance changes occur, ensuring timely authorization review. Maintaining...SuggestedWork at office
$20.31 - $30.12 per hour
A health services company in Phoenix is seeking a candidate to manage inbound phone inquiries for utilization management review. Responsibilities include assessing requests from providers and pharmacies, ensuring compliance, and accurate data entry. Essential qualifications...SuggestedHourly pay- Children's Clinics for Rehabilitative Services Prior Authorization Specialist (Administrative) SUMMARY This position is responsible for exercising independent judgment to process referrals and prior authorizations administration. All referrals and prior authorizations will...SuggestedWork at office
$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...SuggestedFull timeWork at officeFlexible hoursShift work$18.5 - $42.35 per hour
A leading healthcare company is seeking a Business Configuration Sr. Coordinator to manage prior authorization criteria and work closely with cross-functional teams. The ideal candidate will have over 3 years of MS Office experience, strong communication skills, and the...SuggestedHourly payFull time$19.01 - $26.85 per hour
...communicating with all parties, distributing pre/post-op information, and expertly managing financial/insurance details to secure prior authorizations.To be successful in this role, you will possess exceptional organizational skills, attention to detail, and a deep...SuggestedWork at officeDignity Health
Phoenix, AZ23 hours ago- ...hybrid work opportunity requires residency, and work to be performed, within the State of Arizona. Purpose of the job The RN Prior Authorization Supervisor is responsible for overseeing the daily operations of the prior authorization team for the Medicaid Segment which...SuggestedWork experience placementRemote work1 day per week
$26.41 - $61.79 per hour
...appropriate benefits, eligibility, and expected length of stay for requested treatments or procedures. Conduct reviews to ascertain prior authorization and financial responsibilities for Molina and its members. Process requests promptly, adhering to required timelines....SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Tucson, AZ5 days ago- ...Position Title: Clinical Review Nurse - Prior Authorization Work Location: Remote Assignment Duration: 6 months, Temp to perm Work Arrangement: Remote (Mountain/PST) Position Summary: Analyzes all prior authorization requests to determine medical necessity...SuggestedPermanent employmentTemporary workFor contractorsRemote workVisa sponsorshipWork visa
Spectraforce Technologies
Phoenix, AZ3 days ago - ...Trusted Physicians in Pain Relief." Role Description This is a full-time on-site position located in Tucson, AZ, for a Surgical Prior Authorization Specialist. In this role, you will handle prior authorization requests, ensuring compliance with regulations and policies....SuggestedFull time
$20 - $24 per hour
...injections and blood draws - Answer phones - Schedule/reschedule appointments and procedures - Handle prescription refills and prior authorizations About the Company This well-known and successful healthcare system has remained a symbol of quality for nearly...SuggestedHourly payFull timeImmediate startMonday to FridayAcclivity Healthcare
Prescott, AZ1 day ago- ...procedures for appropriate next required action. Perform, identify, collect and confirm insurance coverage to include obtaining prior authorization, third party liability and coordinator of benefits. Possess a good working knowledge of HCPCS, CPT, ICD-9, ICD10 codes,...SuggestedContract workWork at officeLocal area
PHI Air Medical
Phoenix, AZ1 day ago - ...patients' information and accurately enters it in EMA. Identifies payer sources, verifies insurance eligibility, and verifies prior authorization. Recording and collecting patient copays and/or balances at check-in/out. Other duties as assigned Our competitive...SuggestedTemporary workWork at office
- ...Prior Authorization Referrals & Notifications Representative Banner Plans & Networks (BPN) is an integrated network for Medicare and private health plans. Known nationally as an innovative leader, BPN insurance plans and physicians work collaboratively to keep members...Work at officeRemote workMonday to FridayShift work
$38.72k - $41.69k
...available financial support options for clients/patients, including identifying requirements and/or expectations related to prior authorization, co-payment, co-insurance, and deductibles. Reconciles eligibility/insurance coverage discrepancies. Obtains and provides accurate...Contract work- ...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,...Full timeContract workLocal area
$94.5k - $193.6k
A healthcare organization is seeking a Medicaid Prior Authorization Pharmacist for a fully remote role open to qualified candidates in the United States. The position requires an active TX or AZ pharmacist license, with responsibilities including clinical decision-making...Remote job$26.41 - $61.79 per hour
...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 cases to...Hourly payWork experience placementWork at office- ...leading pain management practice in Phoenix is looking for a dedicated professional responsible for processing and obtaining prior authorizations for medical procedures and imaging. Candidates should have three to five years of medical office experience and be skilled...Work at office
- ...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 officeLocal area
$75k - $82k
A leading healthcare organization in Chandler, Arizona, is seeking a skilled professional to lead their Prior Authorization team. The successful candidate will oversee departmental operations, compliance, and engage in quality assurance processes while mentoring staff....- ...leading healthcare engagement partner is seeking a Virtual Access and Reimbursement Manager to educate healthcare providers on prior authorization processes and virtually engage with accounts across several states. This role requires a BS/BA degree and 3+ years of...Remote jobFull time
- A leading health insurance provider seeks an RN Prior Authorization Supervisor in Arizona. This hybrid position manages the daily operations of the prior authorization team and ensures compliance with regulatory requirements. The ideal candidate will have at least 3 years...
- ...an active pharmacist license and a Board Certified Oncology Pharmacist (BCOP) credential. Responsibilities include evaluating prior authorization requests and supporting front-line colleagues. Ideal candidates will have over 2 years of clinical pharmacy experience,...Remote jobWork at office
- A healthcare provider organization in Chandler, Arizona, seeks a full-time Registered Nurse for Prior Authorization. The RN will conduct clinical reviews, prepare requests for Medical Directors, and ensure compliance with regulatory standards. Candidates should possess...Full timeWork at office
- A healthcare solutions company is hiring an on-site Prior Authorization Specialist in Phoenix, AZ. This role involves contacting insurance plans for eligibility, processing prior authorization requests, and documenting findings. Candidates must have at least 1 year of experience...
$27.02 - $48.55 per hour
...Management/Health Services team. The role involves evaluating treatments for mental health and substance abuse, alongside performing prior authorizations and interacting with healthcare providers. Applicants must have a master's degree in behavioral health or nursing along with...Remote jobHourly payFlexible hours$45.43 - $101.54 per hour
A national pharmacy provider seeks a Clinical Pharmacist to evaluate prior authorization requests and support oncology processes. This fully remote role requires Board Certified Oncology Pharmacist (BCOP) credential and 2+ years of clinical experience. Responsibilities...Remote jobHourly pay
