ZipRecruiter

Log In

1

Associate Cvs Health Prior Authorization Jobs in Arizona

Medix

Prior Authorization Specialist

Phoenix, AZ · On-site

$20 - $24/hr

Manages and processes prior authorization requests submitted by clinics and Patient Care ... Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 ...

Medix

Prior Authorization Specialist

Phoenix, AZ · On-site

$20 - $24/hr

Hiring Prior Authorization Specialist in Phoenix Responsibilities * Communicates with insurance ... In order to be eligible for health benefits, you must be employed for 30 days and must average 30 ...

MedImpact

Prior Authorization Coordinator I

Tempe, AZ

$22.55 - $27.41/hr

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join ... Processes prior authorization requests in accordance with standards for accuracy, timeliness ...

MedImpact

Prior Authorization Coordinator I

Tempe, AZ · On-site +1

$22.55 - $27.41/hr

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join ... Processes prior authorization requests in accordance with standards for accuracy, timeliness ...

Medix

Prior Authorization Coordinator

Chandler, AZ · On-site

$19 - $21/hr

High-volume prior authorization experience and patient care coordination. * Manage front desk ... One year of experience in a healthcare or medical billing office. * Intermediate to advanced ...

Arizona Priority Care

Prior Authorization Rep

Chandler, AZ · Hybrid

$39K - $54K/yr

Our provider network is comprised of more than 6,000 health care providers, including primary and ... The Prior Authorization Representative I is responsible for processing incoming requests including ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site

$20.75 - $26.75/hr

Associate degree or Certified Pharmacy Technician (PTCB) * 3+ years of experience in pharmacy or prior authorizations * Specialty pharmacy experience Ready to make a meaningful impact? Apply today ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

Associate degree or Certified Pharmacy Technician (PTCB) * 3+ years of experience in pharmacy or prior authorizations * Specialty pharmacy experience Ready to make a meaningful impact? Apply today ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site

$20.75 - $26.75/hr

Associate degree or Certified Pharmacy Technician (PTCB) * 3+ years of experience in pharmacy or prior authorizations * Specialty pharmacy experience Ready to make a meaningful impact? Apply today ...

next page

Showing results 1-20

All JobsAssociate Cvs Health Prior Authorization JobsAssociate Cvs Health Prior Authorization Jobs in Arizona

Associate Cvs Health Prior Authorization information

What is an Associate CVS Health Prior Authorization?

An Associate CVS Health Prior Authorization is a professional who assists in processing and reviewing prior authorization requests for prescription medications at CVS Health. They work closely with healthcare providers, insurance companies, and patients to ensure that medication requests meet insurance guidelines and are approved in a timely manner. Their responsibilities include gathering necessary documentation, verifying patient information, and communicating decisions regarding coverage. This role helps ensure patients receive the medications they need while adhering to insurance policies and regulations.

What are the key skills and qualifications needed to thrive as an Associate CVS Health Prior Authorization?

To thrive as an Associate CVS Health Prior Authorization, you need a solid understanding of pharmacy operations, healthcare regulations, and insurance processes, often supported by a high school diploma or equivalent and relevant work experience. Familiarity with pharmacy benefit management systems, prior authorization software, and electronic health record (EHR) platforms is typically required. Attention to detail, strong communication, and problem-solving skills help you efficiently coordinate with healthcare providers and insurance companies. These abilities ensure accurate and timely medication approvals, contributing to patient care continuity and regulatory compliance.

What are the typical challenges faced by an Associate CVS Health Prior Authorization, and how can they effectively overcome them?

Associates in CVS Health Prior Authorization often handle high volumes of requests and must navigate complex insurance policies and medication guidelines. Staying organized and maintaining up-to-date knowledge of changing formularies are key to success. Effective communication with providers, patients, and pharmacy teams is essential to resolve issues quickly and ensure timely approvals. Utilizing available training resources and collaborating with experienced colleagues can help new associates adapt and excel in this fast-paced environment.

What is the difference between Associate Cvs Health Prior Authorization vs Pharmacy Technician?

AspectAssociate Cvs Health Prior AuthorizationPharmacy Technician
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma or equivalent; certification varies by state
Work EnvironmentOffice-based, administrative setting within healthcare or pharmacyPharmacy setting, assisting pharmacists with medication dispensing
Employer & Industry UsageCommonly employed by CVS Health and similar healthcare providersEmployed in retail and hospital pharmacies across the industry
Primary ResponsibilitiesManaging prior authorization requests, insurance verificationProcessing prescriptions, customer service, inventory management

In summary, Associate Cvs Health Prior Authorization roles focus on managing insurance approvals and administrative tasks within healthcare, while Pharmacy Technicians assist pharmacists with medication dispensing and customer service. Both roles require healthcare knowledge but differ in daily duties and work environments.

What are the most commonly searched types of Cvs Health Prior Authorization jobs in Arizona?

The most popular types of Cvs Health Prior Authorization jobs in Arizona are:

What are popular job titles related to Associate Cvs Health Prior Authorization jobs in Arizona?

For Associate Cvs Health Prior Authorization jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Associate Cvs Health Prior Authorization jobs in Arizona look for?

The top searched job categories for Associate Cvs Health Prior Authorization jobs in Arizona are:

What cities in Arizona are hiring for Associate Cvs Health Prior Authorization jobs?

Cities in Arizona with the most Associate Cvs Health Prior Authorization job openings:

Associate Cvs Health Prior Authorization jobs near you

Prior Authorization Specialist

Polara Health

Prescott Valley, AZ • On-site

$17.75 - $23.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Polara Health rating

8.1

Company rating: 8.1 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

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 into the EHR system to ensure proper billing. The Prior Authorization Specialist must maintain a high level of understanding of insurance companies and billing authorization requirements.
ESSENTIAL RESPONSIBILITIES
• Coordinates prior-authorization for procedures, orders, or medications by verifying the correct authorization form, obtaining all necessary information to complete form, and submitting the form to the correct insurance plan.
• Works with patients and insurance companies to secure retroactive insurance coverage and authorizations.
• Tracks and follows up on all pending authorizations or requests for additional information depending upon payer guidelines to expedite the claim process.
• Notifies appropriate staff of approved medical or medication authorizations and enters approved authorizations into the EHR.
• Works closely with Utilization Review Coordinator, billing, providers, and clinical teams.
• Knowledgeable in inpatient and outpatient coding, including and understanding of behavioral health, medical and psych procedures, ICD-10-CM, CPT, HCPCS, primary care, and residential.
• Displays a courteous, professional, and positive demeanor with co-workers and others while performing essential duties.
• Promotes effective working relations, both within the department and with other departments, to facilitate the department and organization's ability to meet its goals and objectives.
• Manages the end-to-end credentialing and recredentialing process for medical providers and clinically licensed therapists with Medicare, Medicaid, and commercial insurance payers.
• Maintains accurate and up-to-date records, ensuring compliance with all payer requirements, regulatory standards, and accreditation bodies.
• Coordinates and completes credentialing applications for Polara Health's clinics and hospital facilities, including licensing, certifications, and insurance panel enrollments.
• Serves as a liaison between providers, internal departments, and external agencies to resolve credentialing issues and ensure timely approvals.
• Performs other duties as required.
QUALIFICATIONS
• 21 years of age or older; or minimum 18 years old and licensed or certified under A.R.S. Title 32 and providing services within the personnel member's scope of practice; or minimum 18 years old for select administrative positions
• Must be able to provide or obtain an AZDPS Level One Fingerprint Clearance Card
• Must possess and maintain a valid Driver License, current automobile insurance, and a driving record that meets the guidelines and requirements of the organization
  • Minimum of a High School Diploma or GED required
  • Must have one year of medical insurance verification or prior-authorizations related experience
  • Knowledge of insurance terms and reimbursement procedures
  • Excellent verbal and written communication skills required
  • Excellent telephone etiquette
  • Must have the ability to cooperate and collaborate as part of a team, taking action that indicates consideration for others
  • Must be able to apply common sense reasoning and decision-making to carry out detailed, involved billing transactions and to resolve problems involving several concrete variables
  • Must work assignments on time and readily accept assignments from supervisor
  • Must be able to adhere to strict confidentiality

CORE COMPETENCIES
• People - Passionately believes in people and embraces diversity
• Integrity - Does the right thing even when no one is looking
• Learning - Challenges old paradigms with critical thinking, curiosity and creativity
• Accountability - Sets an intentional culture of personal responsibility; believes everyone carries the load
• Relationships - Serves colleagues and consumers with love, empathy and compassion
PHYSICAL DEMANDS & WORKING CONDITIONS
The physical and working demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Office environment, travel within the community, as needed
• Heavy exposure/use of computers, cell phones, office phones, etc.
• Ability to sit for prolonged periods throughout work hours
• Must be able to occasionally lift and/or move 5 or more pounds
• Must be able to respond appropriately and effectively in crisis situations by using good judgment and following Polara Health protocols
This position is considered Safety-Sensitive by Polara Health.
Polara Health subscribes to the principles of Equal Employment Opportunity. Polara Health's policy is to provide employment, compensation, and other benefits related to employment based on qualifications, without regard to ancestry, age, color, disability, genetic information, gender identity, gender expression, marital status, medical condition, military or veteran status, national origin, pregnancy, race, religion, sex/gender, sexual orientation, or any other basis prohibited by federal, state, or local law. As an Equal Opportunity Employer, Polara Health intends to comply fully with applicable federal, state, and local employment laws, and the information requested on this application will be used only for purposes consistent with those laws.
In accordance with requirements of the Americans with Disabilities Act, Polara Health's policy is to provide reasonable accommodation for applicants requesting accommodation(s) during the application process, so the applicant may be given a full and fair opportunity to be considered for employment. If any candidate needs a reasonable accommodation to participate in the interview process, please notify Polara Health in any of the following ways: by calling 928-445-5211, ext. 4047, U.S. Mail, or hand deliver to Polara Health 3343 N. Windsong Drive, Prescott Valley, AZ 86314 Attention: Human Resources Job Applicant Request.
Employment is contingent on background checks as required by Polara Health's policies, which may include Fingerprint Clearance, Drug Test, Criminal History, Driving History Record, Sex Offender Registry Search, Department of Child Services, State Central Registry Check, Employment Verification, Education Verification, and Professional References.
We Offer the Following Benefits to Full Time Employees:
Medical * Dental * Vision * Short and Long Term Disability * Life Insurance * Health Savings Account * Flexible Spending Account * Employee Assistance Program * 401(k) * Up to 3 Weeks of Paid Time Off * 10 Paid Holidays per Year * Shift Pay (for select inpatient and residential positions) * Educational Reimbursement *
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

What Polara Health employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply