Average salary: $78,162 /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...SuggestedHourly payTemporary workLocal areaRemote workArgonaut Management Services, Inc
Phoenix, AZ1 day ago- ...agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Prior Authorization Specialist. The primary responsibility is to communicate with insurance providers to verify patient eligibility, confirm...SuggestedTemporary workWork at officeLocal areaMonday to Friday
Medix
Phoenix, AZ1 day ago - ...Description 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...Suggested
MT Graham Regional Medical Center
Safford, 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
- ...and procedures; insurance benefit and eligibility is confirmed prior to processing the referral, ensuring patient is assigned to a... ...expenses if applicable. Follow up on referrals pending prior authorization/appointment is done at least weekly, documenting all efforts...Suggested
sunsethealth.com
Yuma, AZ5 days ago $20 - $27 per hour
...Job Description Role: Authorization Specialist (Healthcare) Location: Phoenix, 85016 Setting: 100% on site Schedule: Flexible... ...join a growing healthcare team. This role focuses on surgical prior authorizations, insurance verification, and accurate...SuggestedFlexible hoursThe Intersect Group
Phoenix, AZ2 days ago- Foothills Neurology P C in Phoenix, Arizona is seeking a Botox Prior Authorization Specialist to secure insurance approval for therapeutic Botox injections. This role involves reviewing medical records, submitting documentation to insurance companies, and managing denials...Suggested
- ...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...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Phoenix, AZ12 hours ago - Foothills Neurology Company in Phoenix, Arizona, is seeking a Prior Authorization Specialist to manage all prior authorization processes effectively. This role demands a detail-oriented individual who can handle a high-volume workload while maintaining communication with...SuggestedWork at office
- Arizona Priority Care is seeking a Prior Authorization Representative I based in Chandler, Arizona. This role focuses on processing prior authorization requests for health plans, ensuring compliance and accuracy. You will work closely with physicians and internal customers...SuggestedWork at office
- 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
$19 - $22 per hour
...providers addressing questions regarding coding and billing and navigating complex reimbursement issues, provides support for Prior Authorizations (PA) for an assigned caseload, and helps navigate the appeals process to access medications. Ensure cases move through the...SuggestedTemporary workLocal areaImmediate startRemote workFlexible hours- ...POSITION SUMMARY The Prior Authorization Specialist works with all departments and insurance companies to obtain the necessary authorizations for services or medications that require prior-authorizations. Once received, authorization is communicated to staff and recoded...SuggestedFull timeTemporary workWork at officeLocal areaFlexible hoursShift work
Polara Health
Prescott Valley, AZ3 days ago $116k - $120k
...take proper interventions in the care of the injured employee. This position primarily requires timely reviews of pharmacy prior authorizations to determine appropriateness and medical necessity of treatment. This position assesses the medical appropriateness of proposed...SuggestedWork at officeFlexible hours- ...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
Phoenix Virtual Solutions LLC
Phoenix, AZ4 days ago - Summary A Botox Prior Authorization Specialist secures insurance approval for therapeutic Botox injections (e.g., migraines, spasms, hyperhidrosis) by verifying benefits, reviewing medical records for clinical necessity, and submitting documentation to payers. This role...Work at office
- ...Position is within Client for a Medicaid Prior Authorization Pharmacist. This is a Clinical Pharmacist Position supporting Medicaid Prior Authorization. The position is . An active Client or TX pharmacist license that is in good standing is required. Screenshot of...Shift work
Integrated Resources
Phoenix, AZ12 hours ago - ...Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....Remote work
Pharmacy Careers
Phoenix, AZ3 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, AZ12 hours 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...
$68.5k - $88.02k
...experience with URAC and ACHC specialty pharmacy accreditation standards and survey readiness Experience optimizing patient access, prior authorization, and reimbursement workflows Strong analytical skills with experience using data to drive operational and performance...Temporary workLocal areaImmediate startFlexible hoursCardinal Health
Phoenix, AZ4 days ago$20 - $25 per hour
...team member looks like: The ideal team member is detail-oriented, highly organized, and experienced in utilization review and prior authorizations. They are comfortable interpreting clinical documentation, navigating payer requirements, and communicating clearly with...Hourly payFull timeWork at officeMonday to FridayDay shiftWeekday workHealthOp Solutions
Phoenix, AZ4 days ago- ...understanding of medical and pharmacy coverage. Responsibilities include verifying patient insurance coverage, assisting with prior authorizations, and acting as a liaison among healthcare providers. Strong verbal communication skills are essential, and the position...
- ...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 timeWork at officeRemote workMonday to FridayShift work
- ...and patient inquiries Scheduling appointments, referrals, follow ups, and co pays Assisting with insurance verification and prior authorizations Supporting clear communication between patients and providers Updating and maintaining accurate information in the EHR Helping...Full timeLocal areaFlexible hours
Bookmark Medical
Arizona City, AZ12 hours ago - ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote workWork from homeFlexible hours
Pharmacy Careers
Yuma, AZ1 day ago - Description Summary The Prior Authorization Specialist will handle all aspects of prior authorizations and referrals, ensuring timely and accurate processing. This role requires a detail-oriented individual who thrives in a high-volume environment and can manage multiple...Work at office
- Medasource in Phoenix, Arizona, is seeking a Prior Authorization RN responsible for reviewing and processing medical prior authorization requests. This role ensures that services align with necessary guidelines and health plan policies. Ideal candidates will have an active...
$16.75 - $21.75 per hour
...Cardinal Health is seeking a Senior Coordinator, Prior Authorization in Phoenix, Arizona. This fully remote role involves obtaining and tracking payer approvals for medical equipment orders. Key responsibilities include preparing authorization requests, following up with...Hourly payRemote workCardinal Health
Phoenix, AZ4 days ago- ...requests and concerns, and managing the insurance verification and authorization processes. Responsibilities Performs all daily patient... ...of Day Report. Run Medicare / Commercial Insurance and obtain prior authorizations when needed. Create and update whiteboard for referrals...Private practiceLocal area
Deercreekseniorliving
Casa Grande, AZ5 hours agonew
