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Prior Auth Jobs in Phoenix, AZ (NOW HIRING)

Poppy Bank

Prior Auth Specialist

Phoenix, AZ · On-site

$52 - $70/hr

Job Category Prior Authorization, CPT, Insurance Verification * Employee Type Full Time-Non-Exempt ... Completes accurate documentation in both the Auth/Cert and Referral Shells. * Determines Medicare ...

New

Arizona Priority Care

Prior Authorization Rep

Chandler, AZ · Hybrid

$39K - $54K/yr

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.

Banner Health

RN Medical Management

Phoenix, AZ · Remote

As a RN Medical Management , you will focus on prior authorization. In this desk-based role, you will review cases using clinical guidelines, collaborate with providers, and document prior auth ...

LPL Financial

AI IAM Architect

Tempe, AZ · Remote

$153K - $255K/yr

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 ...

Hireblazer

.Net API Platform Engineer

Phoenix, AZ · Remote

... based auth Ability to write and maintain OpenAPI/Swagger specs Strong collaboration and ... similar) Prior experience with cloud providers (AWS/Azure), especially EKS, or with Infoblox ...

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How much do prior auth jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for prior auth in Phoenix, AZ is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $15.77 and $21.01 per hour, depending on experience, location, and employer.

What is the difference between Prior Auth vs Medical Billing Specialist?

AspectPrior AuthMedical Billing Specialist
Required CredentialsKnowledge of insurance policies, certifications varyCertification often preferred, knowledge of billing codes
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Employer & Industry UsageUsed in healthcare to authorize proceduresUsed to process and submit medical claims
Common Search & ComparisonYesYes

Prior Auth involves obtaining approval from insurance companies before procedures, while Medical Billing Specialists handle the billing process after services are provided. Both roles are essential in healthcare administration but focus on different stages of patient care and reimbursement.

Are prior authorization jobs in high demand?

Prior authorization jobs are in steady demand due to the increasing complexity of healthcare billing and insurance requirements. These roles often require knowledge of medical policies and the use of authorization software, making skilled professionals valuable in healthcare administration. The demand is expected to grow as healthcare providers seek to streamline approval processes and reduce claim denials.

How do I become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance. Relevant skills include knowledge of medical billing, coding, and insurance policies, and certifications such as Certified Medical Administrative Assistant (CMAA) or Certified Coding Associate (CCA) can enhance job prospects. On-the-job training is common, and strong communication and organizational skills are essential for success in this role.

Is prior authorization a stressful job?

Prior authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing tight deadlines to secure approvals quickly. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workload pressure. However, stress levels vary depending on the work environment and individual coping strategies.

What are popular job titles related to Prior Auth jobs in Phoenix, AZ?

For Prior Auth jobs in Phoenix, AZ, the most frequently searched job titles are:

What job categories do people searching Prior Auth jobs in Phoenix, AZ look for?

The top searched job categories for Prior Auth jobs in Phoenix, AZ are:

What cities near Phoenix, AZ are hiring for Prior Auth jobs?

Cities near Phoenix, AZ with the most Prior Auth job openings:

Prior Auth jobs near you
Infographic showing various Prior Auth job openings in Phoenix, AZ as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $39,966 per year, or $19.2 per hour.

Prior Auth Specialist

Poppy Bank

Phoenix, AZ • On-site

$52 - $70/hr

Other

Posted yesterday

New

Job description

  • Location 9520 West Palm Lane,Suite 150-A,Phoenix, AZ, 85037,United States
  • Job Category Prior Authorization, CPT, Insurance Verification
  • Employee Type Full Time-Non-Exempt
  • Required Degree High school
  • Manage Others No
Description

Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt. Successfully works with payers via electronic/telephonic and/or fax communications. Responsible for verification and investigation of pre-certification, authorization, and referral requirements for services.

Requirements
  • Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services before receipt.
  • Successfully works with payers via electronic/telephonic and/or fax communications.
  • Responsible for verification and investigation of pre-certification, authorization, and referral requirements for services.
  • Coordinates and supplies information to the review organization (payer) including medical information and/or letter of medical necessity for determination of benefits.
  • Collaborates with designated clinical contacts regarding encounters that require escalation to peer-to-peer review.
  • Communicates with patients, clinical partners, financial counselors, and others as necessary to facilitate the authorization process.
  • Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner.
  • Completes accurate documentation in both the Auth/Cert and Referral Shells.
  • Determines Medicare primacy based on Federal guidelines.
  • Determines inpatient Medicare coverage for days exhausted and hospice entitlement.
  • Ensures timely and accurate insurance authorizations are in place prior to services being rendered.
  • Follows departmental policies and procedures, when necessary, authorization is not obtained prior to service date.
  • Answers provider, staff, and patient questions surrounding insurance authorization requirements.
  • Other duties as required.
Summary

The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information, and completing the required prior authorization to proceed with testing. Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request prior authorizations. Provides the highest level of customer service to internal and external clients.

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