Average salary: $68,272 /yearly
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$20 - $21 per hour
...coverage, verifying eligibility and benefits, and initiating pre-authorization requests. The ideal candidate will have a strong understanding... ..., and pre-authorization needs Obtain and track prior authorizations when required Review and resolve insurance...SuggestedFull timeCasual workWork at officeLocal areaMonday to FridayFlexible hoursShift workAddison Group
Phoenix, AZ2 days ago- ...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedWork at office
Molina Healthcare
Tucson, AZ2 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...SuggestedWork at officeRotating shift
Molina Healthcare
Tucson, AZ5 days ago $19 per hour
...IMPORTANT: -RemX will never ask for any form of payment prior to or throughout the hiring process. If you have been asked for payment... ...claims exp. Demonstrated experience handling prior authorizations or performing in a comparable role Call center experience...SuggestedWeekly payFull timeWork at officeImmediate startRemote workShift workRemX
Phoenix, AZ3 days ago- ...communicate with unit staff and assist patient to unit. The Intake RN also at times be responsible for the verification and prior authorization of insurance benefits as needed. Qualifications Job Requirements: Current license to practice nursing in Arizona...SuggestedFull timeLocal areaShift workWeekend work
Universal Health Services
Scottsdale, AZ5 days ago - ...Job Description POSITION SUMMARY: The Prior Authorization RN is responsible for reviewing and processing medical prior authorization requests to ensure services are medically necessary, meet evidence-based guidelines, and align with the health plan’s policies. This...Suggested
Medasource
Phoenix, AZ5 days ago - Job Description Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting...SuggestedFor contractorsWork at officeLocal areaWork from home
EXL
Phoenix, AZ25 days ago - ...Responsibilities Underwriting Assess new and renewal accounts to determine acceptability based on underwriting guidelines and authority granted. Underwrite and monitor various classes of insurance business while achieving profitability targets Creates, analyzes,...SuggestedPart time
Ategrity Specialty Insurance Company
Scottsdale, AZ4 days ago $125k - $150k
...dynamics across your territory—national, regional, and local insurance landscapes ~ Collaborate with Market Access, to overcome prior authorization barriers and ensure seamless patient onboarding ~ Drive formulary wins and in-office pull-through by equipping providers...SuggestedFull timeWork at officeLocal areaWorldwideNight shiftInizio Engage
Phoenix, AZ53 minutes agonew- Job Description When someone needs insurance coverage for the unique, the unusual, or the unconventional, they come to Burns & Wilcox. Our Associate Underwriters directly service a book of business under the supervision of a Commercial Lines Underwriter, offering the...SuggestedWork experience placementRemote workWorldwideFlexible hours
Burns & Wilcox
Scottsdale, AZ6 days ago - ...testing, preparation and administration of injections, EKG, assisting of minor surgical procedures and casting, insurance company prior authorizations, and triage. Skilled at multitask abilities, detail-oriented self-starter and self-managed. Maintains self with...SuggestedWork at office
Cobre Valley Regional Medical Center
Globe, AZ2 days ago - ...burden. Medical assistants take vital signs, facilitate patient communication as instructed by the psychiatrist, and manage prior authorizations. User-Friendly Electronic Health Record System: Our advanced electronic health record system is designed with providers...SuggestedFull timePart timeReliefLocal areaRelocation packageFlexible hoursWeekend workAfternoon shift
Family Care Center
Goodyear, AZ1 day ago - ...Summit Healthcare's insurance verification tool for insurance authorization and verification. Serves as a valuable resource to patients by... ...trains in two or more Patient Registration areas: Outpatient, prior authorizations, ER, centralized scheduling and/or Surgery. •...SuggestedFull timeSeasonal workDay shift
Summit Healthcare Regional Medical Center
Show Low, AZ2 days ago - ...and regulatory guidelines while promoting positive patient outcomes. Essential Responsibilities Review and process prior authorizations and reauthorization requests in accordance with company policy. Assess medical documentation to determine the need for continued...SuggestedRemote workFlexible hoursWeekend work
IntePros
Phoenix, AZ25 days ago - ...Accesses necessary charts for documentation and messages. Acts as a liaison between providers and other care givers. Sends Prior authorization tasks. Answers phone calls, tasks, and returns any necessary phone calls in a timely manner. Assists with inventory...SuggestedWork at officeWeekend workAfternoon shiftEarly shift
Chiricahua Community Health Centers, Inc
Sierra Vista, AZ14 days ago $38k - $44k
...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 the first Software Therapy...Hourly payFull timeWork at officeRemote workMonday to FridayShift work$75 - $110 per hour
...business relevance. + Support data labeling and annotation by providing insurance-specific context and expertise. **What's Needed?** + Prior experience working at a Fortune 50 or leading US insurance companies, covering health, property and casualty (P&C), and life...Weekly payTemporary workRemote workFlexible hoursManpower Group Inc.
Tempe, AZ2 days ago$60.52k - $129.62k
...may or may not be physically present Utilize standardized protocols for medication management, prescription refills and prior authorizations. Conduct thorough and accurate reviews of patient medications and update as needed Provide comprehensive education and...Hourly payFull timeTemporary workLocal areaFlexible hoursCVS Health
Mesa, AZ2 days ago- ...scheduling, receptionist, telephone, data input, and exam room and medical chart preparation. Works with managed care plans to obtain prior authorization to insure that services of physician and hospital are reimbursed by the plans. This position reports to the Manager for...Full timePart timeWork at officeMonday to Friday
HonorHealth
Scottsdale, AZ1 day ago $19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...For contractorsLocal areaHighmark Health
Phoenix, AZ3 days ago$1,000 per month
...experience in a needs-based sales environment US military experience through military service or a military spouse/domestic partner Prior experience in a fast-paced contact center environment Compensation range: The hiring range for this position is: $46,135 - $48,635 Compensation...Full timeContract workWork at officeRelocation package2 days per weekUSAA
Phoenix, AZ10 days ago- Proactively connect with prospective clients to assess life insurance needs and recommend appropriate coverage solutions Operate as a performance-driven consultant, setting and tracking personal sales goals and activity metrics Educate clients on life insurance products...Remote jobFull time
Zuzick Organization of Globe Life
Scottsdale, AZ3 days ago - ...discharge. The Medical Assistant will work with patients to develop self-management goals, provide insurance, referral, and prior authorization support, and may also conduct patient outreach to follow up on hospital admissions and discharges, obtain medical records and...
Adelante Healthcare
Mesa, AZ2 days ago - ...activities in the medical record according to policy using approved forms and electronic systems. Responsible for completing prior authorizations and appeals for medications, answering medication line for any pharmacy needs or member concerns, communication, and...Work at office
Southwest Network
Phoenix, AZ3 days ago - ...Basic Brightree Functions Proper Intake Procedures Insurance Verification and Eligibility CMN Requirements and Prior Authorizations Documentation Requirements of the Equipment Patient's Financial Responsibilities (Deductible, Co-Insurance, Co-Pay, ABN...Temporary workWork at officeShift work
Quipt Home Medical Corp
Mesa, AZ5 days ago - ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...Permanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Mesa, AZ14 hours ago - ...excellent patient experience. The below is a view of daily medical assistant responsibilities. Vital patients, EKGs, medication prior authorizations, maintain exam rooms, record request, heart monitor placement, and chart prep for appointments. This is a full-time...Full timeWork at officeMonday to FridayShift work
Arizona Staffing
Tucson, AZ1 day ago - ...checks expiration dates and ensures all medications are properly stored and expired drugs properly disposed of. Obtains prior authorizations, manages referrals, assists with the scheduling of procedures and performs other related tasks to assist physician and patient...Work at office
Tucson Medical Center
Tucson, AZ4 days ago $18 - $20 per hour
...thinking, as well as perform in a team environment. Qualifications: **Experience Needed: Patient Registration, Scheduler, Prior Authorization and referrals - within the last 2 years is a must. Prior call center experience and MA experience is a plus. Medical Office...Remote jobContract workTemporary workWork at officeShift work$70,000 per week
CAN Community Health, a recognized leader in HIV healthcare and support, is seeking a dedicated HIV Program Specialist 1 to join our innovative team. In this role, you will be instrumental in implementing and monitoring HIV programs that enhance the quality of life for ...CAN Community Health
Phoenix, AZ1 day ago
