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Evening Remote Prior Authorization Jobs in Arizona

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Ideal candidates have experience in prior authorization or utilization management, experience using CareWebQI/InterQual, possess a strong clinical background, and are comfortable working in a remote ...

As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... prior authorizations, appeals processes, and patient support financial assistance offerings. This ...

CR EXECUTIVE DIRECTOR

Phoenix, AZ · On-site +1

$120K - $150K/yr

... remote work, should be performed within Arizona unless an exception is properly authorized in ... Such presentations shall be made available to the Council prior to dissemination. Director shall be ...

This position is Full-Time , Remote , working Monday - Friday starting out 9:30am to 6:00pm then ... Support the facilitation of prior authorization and appeal processes by gathering necessary ...

Radiologist- Remote

Scottsdale, AZ · On-site +1

$319K - $399K/yr

... evening shifts required. • Support a culture of collaboration and excellence across ... preferred). • Prior teleradiology or remote work experience preferred, but not required.

... and authorized to work in your location Prior travel industry experience is helpful but not required; training is provided What We Offer Remote work environment Structured onboarding and ongoing ...

New

... prior authorization transactions. The EDI Specialist works with claims and payment teams on the ... This position has the potential to be remote in the following states: Arizona, Nevada, California ...

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Showing results 1-20

Evening Remote Prior Authorization information

What is an evening remote prior authorization specialist?

An Evening Remote Prior Authorization specialist is a healthcare professional who works outside traditional business hours to review and process prior authorization requests for medical procedures, medications, or services. They work remotely, usually from home, using electronic systems to communicate with healthcare providers, insurance companies, and patients. Their main responsibility is to ensure that the requested treatments meet the insurance provider's requirements for coverage before services are rendered. This role helps to expedite patient care and reduce delays in treatment by providing authorization decisions during evening hours.

What are the key skills and qualifications needed to thrive as an evening remote prior authorization specialist?

To thrive as an Evening Remote Prior Authorization Specialist, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization protocols, usually backed by experience in medical billing or a related field. Familiarity with electronic health record (EHR) systems, payer portals, and insurance verification software is typically required. Excellent communication, attention to detail, and the ability to work independently during off-hours are vital soft skills in this role. These competencies ensure timely and accurate processing of authorizations, minimize claim denials, and support efficient patient care outside standard business hours.

What are the main challenges of working as an evening remote prior authorization specialist, and how can I prepare for them?

Working as an Evening Remote Prior Authorization specialist often involves handling urgent requests and communicating with healthcare providers outside of traditional business hours. This can mean managing a higher volume of time-sensitive cases and troubleshooting issues when fewer support staff are available. To prepare, it's helpful to be highly organized, comfortable with independent problem-solving, and proactive in seeking clarification from providers or supervisors as needed. Familiarity with electronic health record (EHR) systems and strong written communication skills are also valuable for effectively managing remote work and ensuring timely approvals.

What is the difference between Evening Remote Prior Authorization vs Evening Remote Medical Billing Specialist?

AspectEvening Remote Prior AuthorizationEvening Remote Medical Billing Specialist
CredentialsTypically requires healthcare-related certifications (e.g., CPC, CCA)Requires billing and coding certifications (e.g., CPC, CCS)
Work EnvironmentRemote, healthcare provider offices, insurance companiesRemote, healthcare clinics, billing companies
Industry UsageUsed in healthcare insurance and provider organizationsUsed in healthcare billing and revenue cycle management
Primary FocusSecuring prior authorization for treatments or proceduresProcessing and submitting medical claims for reimbursement

While both roles operate remotely within the healthcare industry, Evening Remote Prior Authorization focuses on obtaining approval for treatments, whereas Evening Remote Medical Billing Specialists handle claims processing. Understanding these differences helps job seekers identify the right position based on their skills and career goals.

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

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

What are popular job titles related to Evening Remote Prior Authorization jobs in Arizona?

For Evening Remote Prior Authorization jobs in Arizona, the most frequently searched job titles are:

What cities in Arizona are hiring for Evening Remote Prior Authorization jobs?

Cities in Arizona with the most Evening Remote Prior Authorization job openings:

Pharmacy Prior Authorization Specialist

Scottsdale, AZ • On-site, Remote


Onco360
Health Care and Social Assistance • 501 - 1,000 employees

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 113 rated pharmacies

Good employer

Paid breaks

Good training


$20.75 - $26.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago


Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Scottsdale, AZ | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
Join a mission-driven team making a difference in the lives of cancer patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Scottsdale, AZ. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability

What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.

What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • 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 and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion


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