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Prior authorization Jobs in Phoenix, AZ

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Prior authorization • phoenix az

Last updated: 9 hours ago
Authorization Specialist

Authorization Specialist

OrthoArizonaPeoria, AZ, United States
Full-time
At OrthoArizona, we are bringing the best together.Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons an...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Utilization Review Authorization

Utilization Review Authorization

Sanctuary Recovery CentersPhoenix, AZ, US
Full-time
The UR Authorization (Auth) Coordinator is the key position for reviewing admissions and utilization authorizations throughout Sanctuary facilities. The UR Auth Coordinator is responsible for review...Show moreLast updated: 9 hours ago
Insurance Authorization Rep

Insurance Authorization Rep

Blue Cloud Pediatric Surgery Centers LLCPhoenix, AZ, United States
Full-time
INSURANCE AUTHORIZATION REPRESENTATIVE - REMOTE.Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery ...Show moreLast updated: 28 days ago
Supervsior- Prior Authorization- Hybrid

Supervsior- Prior Authorization- Hybrid

Blue Cross Blue Shield of ArizonaPhoenix, AZ, United States
Full-time
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to...Show moreLast updated: 8 days ago
  • Promoted
Remote Prior Authorization Pharmacist

Remote Prior Authorization Pharmacist

Pharmacy CareersPhoenix, AZ, United States
Remote
Full-time
Remote Prior Authorization Pharmacist - Work From Home in Managed Care.Remote Prior Authorization Pharmacist.This work-from-home position is ideal for pharmacists who want to transition out of reta...Show moreLast updated: 8 days ago
Full Time - Prior Authorization Representative

Full Time - Prior Authorization Representative

Clin-PathPhoenix, AZ, United States
Full-time
Prior Authorization Representative.This position will complete training at our North Phoenix office located at 1929 W.Upon successful completion of training, the role will be based at our laborator...Show moreLast updated: 5 days ago
Behavioral Health Prior Authorization Manager

Behavioral Health Prior Authorization Manager

Arizona Official Website of State of ArizonaPHOENIX
Full-time +1
Under the direction of the Clinical Administrator, this position is responsible for management and oversight of the DFSM Behavioral Health Prior Authorization / Utilization Review (BH PA / UR) of staff...Show moreLast updated: 14 days ago
Pharmacy Prior Authorization Senior Representative - Freedom Fertility, Remote,

Pharmacy Prior Authorization Senior Representative - Freedom Fertility, Remote,

Cigna Health and Life Insurance CompanyPhoenix, AZ, United States
Remote
Full-time
Rapid and thorough investigation of processing / benefit inquiries from Freedom Inside Sales team.Insurance Inquiries / benefit checks. What you need to do the job : • •.High School Diploma, or GED require...Show moreLast updated: 10 days ago
  • Promoted
Prior Authorization RN Reviewer

Prior Authorization RN Reviewer

MedasourcePhoenix, AZ, US
Full-time
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 wit...Show moreLast updated: 30+ days ago
Pre-Authorization Representative

Pre-Authorization Representative

SMI IMAGING LLCPhoenix, AZ, United States
Full-time
Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best in class technology allows us to...Show moreLast updated: 30+ days ago
Behavioral Health Prior Authorization Manager

Behavioral Health Prior Authorization Manager

State of ArizonaPhoenix, AZ, United States
Full-time
Job Summary Under the direction of the Clinical Administrator, this position is responsible for management and oversight of the DFSM Behavioral Health Prior Authorization / Utilization Review (BH PA / ...Show moreLast updated: 10 days ago
  • Promoted
Pre-Authorization Representative

Pre-Authorization Representative

SimonMed ImagingPhoenix, AZ, US
Full-time
Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best in class technology allows us to...Show moreLast updated: 30+ days ago
Authorization Supervisor

Authorization Supervisor

CompassusPhoenix, AZ
Remote
Full-time
The Revenue Cycle Supervisor is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 ...Show moreLast updated: 3 days ago
  • Promoted
Prior Authorization Specialist

Prior Authorization Specialist

SOUTHWEST BREAST AND AESTHETICS LLCPhoenix, AZ, US
Full-time
We are looking for a dynamic and friendly prior authorization specialist with a minimum of 1 years experience.This position is responsible for obtaining pre-certifications and pre-authorizations fo...Show moreLast updated: 12 days ago
  • Promoted
Clinical Review Nurse - Prior Authorization

Clinical Review Nurse - Prior Authorization

Spectraforce TechnologiesPhoenix, AZ, United States
Full-time
Clinical Review Nurse - Prior Authorization.Fully Remote - candidates can reside anywhere in the US but will be working AZ time. They need to have AZ license or compact license (with compact license...Show moreLast updated: 8 days ago
  • Promoted
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocationsTempe, Arizona, United States
Full-time
A company is looking for a Prior Authorization Specialist to manage the prior authorization process for procedural orders. Key Responsibilities : Obtain prior authorizations for facility and profes...Show moreLast updated: 4 days ago
Pharmacy Technician - Prior Authorization - Work From Home

Pharmacy Technician - Prior Authorization - Work From Home

CVS HealthWork from home, AZ, US
Remote
Full-time +1
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...Show moreLast updated: 30+ days ago
Full Time - Prior Authorization Representative

Full Time - Prior Authorization Representative

Clinpath DiagnosticsPhoenix, AZ, United States
Full-time
This position will complete training at our North Phoenix office located at 1929 W.Upon successful completion of training, the role will be based at our laboratory located at 4313 E.Hours : Monday-F...Show moreLast updated: 19 days ago
Authorization Specialist

Authorization Specialist

American Vision PartnersPhoenix, AZ, United States
Full-time
Company Intro At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructur...Show moreLast updated: 25 days ago
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Authorization Specialist

Authorization Specialist

OrthoArizonaPeoria, AZ, United States
30+ days ago
Job type
  • Full-time
Job description

Authorization Specialist

About OrthoArizona :

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists.

Today we are one of Arizona's largest privately owned and most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, in addition to 2 ambulatory surgical centers and in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our employees.

As an Authorization Specialist with OrthoArizona, you will get to :

  • Verify insurance authorization requirements for ordered services / procedures.
  • Reviews documentation or contacts the provider when necessary to supplement the order to prove medical necessity.
  • Ensures appropriate documentation is available and complete before submitting the authorization to the insurance company to avoid repetitious submissions and denials.
  • Submits all authorizations with correct CPT and diagnosis codes.
  • Cross-references the procedure tasked against the doctor's orders to ensure all services are submitted correctly.
  • Enters any authorization numbers and expiration dates into the EMR for proper claim processing.
  • Update pertinent insurance notes in multiple EMR systems for corresponding departments to access.
  • Monitors and resolves the status of problem authorizations.
  • Faxes outgoing imaging orders to corresponding facilities and follows the order to ensure the patient is scheduled.
  • Maintain medical records in accordance with practice policies and procedures.
  • Estimates prepay amounts due for services and collects co-insurance, copays, deductibles or estimates self-pay rates; prepares daily batch, deposits, etc.
  • Using state or federally regulated websites may require personal login credentials.

Qualifications :

  • Excellent customer / patient service. Knowledge of medical terminology.
  • Working knowledge of computer programs.
  • Excellent written and verbal communication skills.
  • Understand / Perform training on practice management software.
  • Ability to promote favorable facility image with physicians, patients, insurance companies, and general public.
  • Ability to communicate effectively on the telephone.
  • Ability to make decisions and solve problems.
  • Working knowledge of health insurance plans including reading plan requirements.
  • Follow all Standard Operating Procedures.
  • High School diploma or GED.
  • Minimum of 2 years of experience in healthcare administration or related field.
  • Strong organizational and communication skills.
  • Ability to work independently and as part of a team.
  • Knowledge of medical terminology and insurance authorization processes.
  • Full Time Benefits :

  • Robust paid time off package including, sick time, holidays, & paid time off!
  • Medical with multiple different plan options.
  • Health Savings account + company contributions.
  • Dental & Vision Insurance.
  • Company paid life insurance policy + the option to purchase additional benefits to protect you from what life throws at you.
  • 401(k) with a company contribution + profit sharing!
  • Pet Discount Plan.
  • ID Theft Protection & Legal Assistance.