... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
Representative - Admissions Services
Phoenix, AZ · On-site
$20/hr
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
Representative - Admissions Services
Phoenix, AZ · On-site
$20/hr
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. * Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the ...
Overnight Caregiver - Paid Training
$18.35 - $20/hr
All Ways Caring HomeCare At All Ways Caring HomeCare our Overnight Caregivers play a crucial role ... express your interest by applying to join our awesome team today! Qualifications: * No prior ...
Overnight Caregiver - Paid Training
$18.35 - $20/hr
All Ways Caring HomeCare At All Ways Caring HomeCare our Overnight Caregivers play a crucial role ... express your interest by applying to join our awesome team today! Qualifications: * No prior ...
... scripts and any other pertinent paperwork. Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non‐compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non‐compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non‐compliance, denials and/or penalties to the ...
... scripts and any other pertinent paperwork. Responsible for adhering to all third party payer ... Obtains prior authorization in order to avoid non‐compliance, denials and/or penalties to the ...
Customer Service Representative
Mesa, AZ · On-site
$15 - $20.50/hr
Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...
Quick apply
Customer Service Representative
Mesa, AZ · On-site
$15 - $20.50/hr
Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...
Customer Service Representative
Cottonwood, AZ · On-site
$15 - $20.25/hr
Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...
Quick apply
Customer Service Representative
Cottonwood, AZ · On-site
$15 - $20.25/hr
Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...
Customer Service Representative
Mesa, AZ · On-site
$15.75 - $21.50/hr
Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...
Customer Service Representative
Mesa, AZ · On-site
$15.75 - $21.50/hr
Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...
Customer Service Representative
Prescott, AZ · On-site
$15.75 - $21.50/hr
Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...
Customer Service Representative
Prescott, AZ · On-site
$15.75 - $21.50/hr
Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...
Overnight Prior Authorization Representative Express Scripts information
What is an overnight prior authorization representative at Express Scripts?
An Overnight Prior Authorization Representative at Express Scripts is responsible for processing and evaluating prescription medication requests that require authorization from insurance providers, primarily during overnight shifts. This role involves reviewing clinical information, communicating with healthcare providers, and ensuring that medications meet insurance guidelines for approval. Representatives also provide customer service to patients, doctors, and pharmacists, helping to resolve issues and explain the prior authorization process. Working overnight means handling requests that come in outside of typical business hours, ensuring 24/7 support for patients and providers.
What are the key skills and qualifications needed to thrive as an overnight prior authorization representative at Express Scripts?
To thrive as an Overnight Prior Authorization Representative at Express Scripts, you need a solid understanding of pharmacy benefits, medical terminology, and prior authorization processes, often supported by a high school diploma or equivalent and relevant experience in healthcare or pharmacy. Familiarity with pharmacy management software, claims processing systems, and Microsoft Office Suite is typically required. Attention to detail, strong problem-solving skills, and effective communication are critical soft skills for success in this position. These competencies ensure accurate and timely authorization decisions, safeguard patient access to medications, and uphold compliance with regulatory standards during overnight shifts.
What are some common challenges faced by overnight prior authorization representatives at Express Scripts, and how can they be managed?
Overnight Prior Authorization Representatives at Express Scripts often face challenges such as managing high call volumes during off-peak hours, handling urgent medication requests, and working independently with limited on-site supervision. To manage these challenges, representatives should develop strong organizational skills, remain updated on the latest formulary guidelines, and leverage internal resources or escalation protocols for complex cases. Building effective communication with pharmacists, physicians, and other team members—even during overnight shifts—can also help ensure smooth case resolution and maintain high service quality.
What are the most commonly searched types of Prior Authorization Representative Express Scripts jobs in Arizona?
The most popular types of Prior Authorization Representative Express Scripts jobs in Arizona are:
What are popular job titles related to Overnight Prior Authorization Representative Express Scripts jobs in Arizona?
For Overnight Prior Authorization Representative Express Scripts jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Overnight Prior Authorization Representative Express Scripts jobs in Arizona look for?
The top searched job categories for Overnight Prior Authorization Representative Express Scripts jobs in Arizona are:
What cities in Arizona are hiring for Overnight Prior Authorization Representative Express Scripts jobs?
Cities in Arizona with the most Overnight Prior Authorization Representative Express Scripts job openings:
HonorHealth rating
7.7
Based on 209 frontline employees who took The Breakroom Quiz
159th of 888 rated healthcare providers
Job description
Primary City/State:
Tempe Medical Center - 1500 S Mill Ave Tempe, AZ 85281Category:
Patient ServicesShift:
DayDepartment:
Registration AdmittingGreat care starts with great people. (Like you.)
At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
JOB SUMMARY
Admits clients to the hospital, which includes collecting information and deposits, completing forms and obtaining signatures, scanning ID cards/documents, and updating ADT systems. Ensures all patients are efficiently and accurately registered and prioritizes patients during period of high volume.
ESSENTIAL FUNCTIONS
- Greets patients and the public, providing necessary information in a courteous and professional manner while supporting HIPAA regulations and HonorHealth confidentiality standards. Ensures a positive patient experience by addressing patient questions and concerns in an empathetic and professional manner.
- Processes pre-registered accounts, completes registration and admissions information by obtaining patient demographic, insurance, financial and medical information in accordance to revenue cycle criteria.
- Obtains required signatures on all medical, financial and compliance documents. Prepares supportive paperwork, including patient identification band to assure accurate patient identification in accordance with Red Rule Policies.
- Scans all appropriate documents into the electronic medical and financial record, including patient identification, insurances cards, patient advanced directives, Conditions of Admissions, Financial Agreements, physician orders/scripts and any other pertinent paperwork.
- Responsible for adhering to all third party payer requirements including Medicare, Medicaid, managed care, Blue Cross and commercial plans. Verifies insurance eligibility and coverage and executes appropriate insurance notification procedures. Obtains prior authorization in order to avoid non-compliance, denials and/or penalties to the patient, hospital and physician(s). Initiates notifications to insurances as required. Checks for medical necessity and follows appropriate procedures depending on results. Keeps supervisor and/or lead informed of all unique situations and problem accounts.
- Requests and accepts payments for balances due on accounts upon admission or at the time of discharge, including patient co-payment, deductible, and co-insurance responsibilities and pre-payments for uninsured or underinsured patients.
- Collaborates within the multi-disciplinary health care team to facilitate and ensure patient satisfaction and maximization of reimbursement. Helps with department training when needed.
EDUCATION
- High School Diploma or GED Required
EXPERIENCE
- 6 months medical office, hospital registration/business/banking/medical insurance office/customer service experience. Required
- 1 year experience at a medical office or other hospital/ nursing home facility. Preferred
LICENSE AND CERTIFICATIONS
We're all in for your career.
What HonorHealth employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About HonorHealth
Sourced by ZipRecruiter
HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth's mission is to improve the health and well-being of those we serve.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Scottsdale, AZ, US
Year founded
2014