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Overnight Remote Prior Authorization Jobs in Arizona

Onco360

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 ...

Banner Health

RN Medical Management

Phoenix, AZ · Remote

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 ...

Valeris

Remote Field Reimbursement Manager

Phoenix, AZ · 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 ...

The State of Arizona

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 ...

ConnectMed360

Oncology Case Manager

Scottsdale, AZ · On-site +1

$60K/yr

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 ...

Arizona Department of Administration

$36K/yr

... remote work, should be performed within Arizona unless an exception is properly authorized in ... Pre-Employment Requirements: • Successfully pass fingerprint background check, prior employment ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

... 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 ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

... 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 ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

... 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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All JobsPrior Authorization JobsOvernight Remote Prior Authorization JobsOvernight Remote Prior Authorization Jobs in Arizona

Overnight Remote Prior Authorization information

What is an overnight remote prior authorization?

Overnight Remote Prior Authorization jobs involve reviewing and processing requests for medical procedures, medications, or services that require approval from insurance companies, typically during nighttime hours and from a remote location. Professionals in these roles evaluate clinical documentation, ensure requests meet insurance criteria, and communicate decisions to healthcare providers or patients. These jobs are critical in ensuring timely care and coverage, especially for urgent cases outside of standard business hours. Remote positions allow for flexible work environments, often requiring strong attention to detail and knowledge of medical terminology.

What skills and qualifications are needed to thrive as an overnight remote prior authorization specialist?

To excel as an Overnight Remote Prior Authorization Specialist, you need a solid understanding of healthcare insurance processes, medical terminology, and prior authorization requirements, typically supported by experience in medical billing or healthcare administration. Familiarity with electronic health record (EHR) systems, payer portals, and prior authorization software is commonly required, and certifications like Certified Medical Reimbursement Specialist (CMRS) can be advantageous. Strong attention to detail, problem-solving abilities, and excellent written communication are essential soft skills for efficiently handling requests and collaborating virtually. These skills ensure accurate, timely authorization decisions that support patient care and compliance with payer guidelines in a remote, overnight setting.

What are common challenges faced by overnight remote prior authorization specialists, and how can they be managed?

Overnight Remote Prior Authorization specialists often encounter challenges such as limited real-time support from colleagues or supervisors due to off-hour shifts, and handling urgent authorization requests with tight deadlines. To manage these challenges, it's important to be highly organized, maintain clear documentation of cases, and develop strong problem-solving skills. Leveraging available digital resources and staying proactive in communication with daytime teams can ensure smooth workflow transitions and minimize delays. Additionally, setting up a comfortable and distraction-free home workspace can help maintain focus and productivity during overnight hours.

What is the difference between Overnight Remote Prior Authorization vs Overnight Remote Medical Coder?

AspectOvernight Remote Prior AuthorizationOvernight Remote Medical Coder
CredentialsTypically requires healthcare-related certifications (e.g., CPC, RHIT)Requires coding certifications (e.g., CPC, CCS)
Work EnvironmentRemote, healthcare office or insurance settingRemote, healthcare or insurance coding environment
Industry UsageUsed in insurance, healthcare administrationUsed in healthcare facilities, billing companies
Primary FocusSecuring prior authorization for treatments/servicesTranslating medical records into codes for billing

While both roles are remote and healthcare-related, Overnight Remote Prior Authorization focuses on obtaining approvals for treatments, whereas Overnight Remote Medical Coder specializes in coding medical records for billing. Understanding these differences helps job seekers find the right position aligned with their skills and certifications.

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 Overnight Remote Prior Authorization jobs in Arizona?

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

What job categories do people searching Overnight Remote Prior Authorization jobs in Arizona look for?

The top searched job categories for Overnight Remote Prior Authorization jobs in Arizona are:

Overnight Remote Prior Authorization jobs near you

Pharmacy Prior Authorization Specialist

Onco360

Scottsdale, AZ • On-site, Remote

$20.75 - $26.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 113 rated pharmacies

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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