Prior Auth Jobs in Arizona (NOW HIRING)

Review of procedure orders and documentation to determine necessity of prior auth. * Strong communication skills with providers, team members and patients * Excellent written communication skills

The Prior Authorization Registered Nurse (RN) is responsible for conducting initial clinical reviews of preservice authorization requests, focusing on continuity of care and the proper utilization of ...

The Prior Authorization Supervisor is a non-clinical position, responsible for the direct oversight ... Processes all auth modification requests (extensions, provider changes, etc.). * Provides back-up ...

This position exists to take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity.

... Prior Auth, EOB's preferred but not required. Comfortable meeting performance metrics (KPIs)

The PA Rep I works closely with all UM Staff, Prior Auth Supervisor, and management to maintain turnaround time requirements of the contracted health plan, regulatory bodies, and internal goals.

PBM or prior auth experience preferred BUT not required. * Call center experience strongly preferred Additional Information Interested in being considered? If you are interested in being considered ...

The Tech I Prior Auth takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains ...

PBM or prior auth experience preferred BUT not required. Additional Information Interested in being considered? If you are interested in applying to this position, please contact Jessica MacDonell ...

Well supported clinical operation with MAs, scribes, and on site prior auth personnel * Extremely competitive compensation with attractive opportunity to earn incentives. * Loan repayment and ...

Well supported clinical operation with MAs, scribes, and on site prior auth personnel * Extremely competitive compensation with attractive opportunity to earn incentives. * Loan repayment and ...

Relays prior authorization and/or referral needs to the authorization team and desk staff in ... of auth/referral status. * Performs pre-collection activities for scheduled procedures in ...

You will design and validate OAuth/OIDC patterns (Auth Code + PKCE, OBO, token exchange, client ... prior experience, education, base salary of internal peers, demonstrated performance, and ...

Relays prior authorization and/or referral needs to the authorization team and desk staff in ... of auth/referral status. * Performs pre-collection activities for scheduled procedures in ...

... auth/billing staff at the branch level * Documentation of all patient interaction and care ... Prior experience in home infusion, compounding and/or specialty pharmacy required * High School ...

Outpatient, prior authorizations, ER, centralized scheduling and/or Surgery. · Runs and works Relay reports · Works Task List in Allscripts for all outpatients · Monitor stat orders and time ...

... auth/billing staff at the branch level * Documentation of all patient interaction and care ... Prior experience in home infusion, compounding and/or specialty pharmacy required * High School ...

... auth/billing staff at the branch level * Documentation of all patient interaction and care ... Prior experience in home infusion, compounding and/or specialty pharmacy required * High School ...

... auth/billing staff at the branch level * Documentation of all patient interaction and care ... Prior experience in home infusion, compounding and/or specialty pharmacy required * High School ...

... auth/billing staff at the branch level * Documentation of all patient interaction and care ... Prior experience in home infusion, compounding and/or specialty pharmacy required High School ...