$17.75 - $22.75/hr
Serve as the liaison to therapist and AHCCCS Prior Authorization Department * Tracking and ... Optum, Blue Cross Blue Shield and other insurances. Applicant must be able to demonstrate ...
Quick apply
$17.75 - $22.75/hr
Serve as the liaison to therapist and AHCCCS Prior Authorization Department * Tracking and ... Optum, Blue Cross Blue Shield and other insurances. Applicant must be able to demonstrate ...
Casa Grande, AZ · On-site
$16 - $29/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Experience with Prior Authorizations * Experience with Insurance Verifications * Specialty ...
Casa Grande, AZ · On-site
$16 - $29/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Experience with Prior Authorizations * Experience with Insurance Verifications * Specialty ...
$16 - $29/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Experience with Prior Authorizations * Experience with Insurance Verifications * Specialty ...
$16 - $29/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Experience with Prior Authorizations * Experience with Insurance Verifications * Specialty ...
Gilbert, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Gilbert, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Fountain Hills, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Fountain Hills, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Tucson, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Tucson, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Yuma, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Yuma, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Avondale, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Avondale, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Goodyear, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Goodyear, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Tucson, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Tucson, AZ · On-site
$150/day
No prior experience required--paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Avondale, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Avondale, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Tucson, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Tucson, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Fountain Hills, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Fountain Hills, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Gilbert, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Gilbert, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Yuma, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
Yuma, AZ · On-site
$150/day
No prior experience required-paid training provided. As a Behavior Technician , you'll work one-on ... Authorized to work in the U.S. * Ability to pass a background check * High school diploma or ...
An Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to ensure that medical treatments, procedures, or medications meet insurance coverage guidelines. Employees in this role assess clinical documentation, verify patient eligibility, and communicate approval or denial decisions based on established criteria. The job requires attention to detail, knowledge of medical terminology, and compliance with healthcare regulations. It may also involve interacting with providers or patients to clarify authorization requirements.
As an Optum Prior Authorization specialist, your daily tasks include reviewing and processing prior authorization requests for various medical services, verifying insurance coverage, and ensuring all required clinical documentation is complete. You will regularly communicate with healthcare providers, insurance representatives, and patients to clarify requests and resolve any questions. Attention to compliance with health plan guidelines and accurate data entry are vital. The role is fast-paced and highly collaborative, providing opportunities to develop expertise in healthcare administration while supporting the delivery of timely patient care.
To thrive as an Optum Prior Authorization specialist, you need knowledge of medical terminology, health insurance processes, and prior authorization procedures, often supported by a background in healthcare administration or related fields. Familiarity with claims management software, electronic health records (EHRs), and payer-specific authorization platforms is essential. Strong organizational skills, attention to detail, and effective communication abilities help you excel in interacting with providers, insurers, and patients. These skills ensure timely, accurate processing of authorizations, reducing delays in patient care and fostering positive relationships with healthcare partners.
For Optum Prior Authorization jobs in Arizona, the most frequently searched job titles are:
The top searched job categories for Optum Prior Authorization jobs in Arizona are:
Cities in Arizona with the most Optum Prior Authorization job openings:
Tucson, AZ
$17.75 - $22.75/hr
Full-time, Part-time
Re-posted 22 days ago
The Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding in order to monitor and manage accounts, claims, claims resolution, accounts receivable, and posting of AHCCCS claims. This position must follow-up on outstanding accounts by monitoring and executing various billing functions. Various Financial and Productivity reports will be submitted daily, weekly, to various departments. This is not a remote position. This position is a PT/FT position (24-32 hours weekly).
Note: Applicants must demonstrate understanding of AHCCCS billing processes and terminology as well as other types of insurances. In addition applicants must be able to demonstrate ability to properly process and submit claims and reconcile denials. Applicants must have experience completing the insurance credentialing process.
Duties:
• Submit billing in a timely manner daily to AHCCCS insurances through various portals.
• Create reports on billing levels on a weekly basis.
• Assists with physical site upkeep. (Cleaning, sanitizing, emptying trash, vacuuming etc.)
• Keep track and process accounts and incoming payments in compliance with financial policies and procedures. Send daily / weekly reports to CEO
• Perform day to day financial transactions including verifying, classifying, computing, posting and recording accounts receivable data.
• Verify discrepancies and resolve client’s billing issues and reconcile all payments received from insurance companies and with the services provided.
• Work in multiple software systems to accomplish AR results.
• Generate financial statements and reports detaining accounts receivable status.
• Serve as the liaison to therapist and AHCCCS Prior Authorization Department
• Tracking and organizing insurance information, following up on all claim denials.
• Effectively communicating billing, insurance, and coverage criteria updates with staff and management.
• Understanding of the insurance credentialing process.
• Keep up with compliance, coverage criteria, ICD-10 information and update supervisors and team as needed.
• Assists with general office cleaning and maintaining the conference room area and other areas of the office.
• *Other duties as assigned.
Requirements:
• High School Diploma or GED
• Must Have Minimum of 2 to 3 years’ experience in Medical Billing, Billing and Coding Credential is required in addition to experience billing AHCCCS AIHP, AZ Complete, UHC/Optum, Blue Cross Blue Shield and other insurances. Applicant must be able to demonstrate competency with these Insurances plans and the claims processes.
• Confidentiality of Protected Health Information.
• Proven ability to calculate post and manage accounting figures and financial records.
• Data entry skills and knowledgeable in arithmetic and statistics.
• Excellent verbal and written communication skills. Proficiency in English and Spanish preferred.
• Customer service orientation and negotiation skills.
• High degree of accuracy and attention to detail
• Bachelors degree in Finance preferred. Some academic training in accounting required.
Must have a Valid Arizona Driver License, Proof of Valid Insurance, Current Level 1 AZDPS Finger Print Clearance Card, CPR and First Aid Certification, Recent Negative TB Test and maintain these items during employment.
This is an in-person position only, no remote options.
Sourced by ZipRecruiter
Outpatient health care
1 - 10 Employees
Tucson, AZ, US
2008
