ZipRecruiter

Log In

1

Prior Authorization Associate Jobs in Arizona (NOW HIRING)

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site

$20.75 - $26.75/hr

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 ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

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 ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site

$20.75 - $26.75/hr

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 ...

Arizona Neurology Associates

Be Seen First

Patient Authorizations & Eligibility

Sun City, AZ · On-site

$18 - $20/hr

As well, the candidate for this job may assist with orders for external referrals for imaging, chemistry, specialty consults, etc. that may also require prior authorization and eligibility as ...

next page

Showing results 1-20

All JobsPrior Authorization Associate JobsPrior Authorization Associate Jobs in Arizona

Prior Authorization Associate information

What is the difference between Prior Authorization Associate vs Medical Billing Specialist?

AspectPrior Authorization AssociateMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification in medical billing or coding often preferredHigh school diploma or equivalent; certification in medical billing or coding often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare offices, billing companies, hospitals
Primary ResponsibilitiesObtain prior authorizations from insurance for procedures and treatmentsProcess and submit medical claims, handle billing and payments

The main difference is that a Prior Authorization Associate focuses on securing insurance approvals before procedures, while a Medical Billing Specialist manages the billing process after services are rendered. Both roles require similar credentials and often work in healthcare settings, but their core functions differ in the patient care and revenue cycle process.

What are the key skills and qualifications needed to thrive as a prior authorization associate?

To thrive as a Prior Authorization Associate, you need a strong understanding of medical terminology, insurance processes, and prior authorization requirements, often backed by a high school diploma or associate degree. Familiarity with healthcare management software, electronic health record (EHR) systems, and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are essential soft skills for this role. These skills ensure timely and accurate processing of prior authorizations, minimizing delays in patient care and supporting efficient healthcare operations.

What is a prior authorization associate?

Prior Authorization Associates are professionals who handle the process of obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review clinical documentation, communicate with healthcare providers and insurers, and ensure all necessary information is submitted for timely authorization. Their work helps reduce claim denials and ensures patients receive the care they need while adhering to insurance requirements.

What are some common challenges faced by a prior authorization associate, and how can they be effectively managed?

Prior Authorization Associates often encounter challenges such as navigating complex insurance requirements, handling high volumes of authorization requests, and managing tight turnaround times. Staying organized, keeping up-to-date with payer policies, and using robust tracking systems can help manage these difficulties. Collaborating closely with clinical staff and insurance representatives is also essential for resolving issues quickly and ensuring approvals are processed efficiently. Developing strong communication and problem-solving skills is key to success in this role.

What are the most commonly searched types of Prior Authorization jobs in Arizona?

The most popular types of Prior Authorization jobs in Arizona are:

What are popular job titles related to Prior Authorization Associate jobs in Arizona?

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

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

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

What cities in Arizona are hiring for Prior Authorization Associate jobs?

Cities in Arizona with the most Prior Authorization Associate job openings:

Prior Authorization Associate jobs near you

Infusion Prior Authorization Coordinator

Arizona Arthritis & Rheumatology Associates

Phoenix, AZ • On-site

$18.25 - $22.75/hr

Other

Posted 2 days ago

New

Job description

Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States. The practice has over 60 providers, 15 sites and over 350 employees providing assessment and treatments for our rheumatology patients. Our providers work together to keep patients healthy and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.
We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Our vision is to provide the best Rheumatology care, anywhere and, to balance sustainable operation with the highest possible level of patient care.
We are a seeking an ambitious, friendly, positive, and compassionate Infusion Prior Authorization Coordinator to join our team.
The Prior Authorization Infusion Coordinator is responsible for the financial and administrative coordination of physician administered infusion and injection therapies from order through treatment approval. This role serves as the department's insurance and reimbursement expert, ensuring patients receive timely financial clearance while maximizing reimbursement opportunities and maintaining compliance with payer requirements.
Prior Authorization Infusion Coordinator has limited patient-facing responsibilities, allowing dedicated focus on benefit investigations, prior authorizations, appeals, financial assistance, insurance compliance, and ongoing payer management. This position works collaboratively with In Office Infusion Coordinators, providers, nursing staff, revenue cycle, and outside infusion facilities to ensure seamless patient care.
Responsibilities
Collaborate with:

  • Providers
  • Nursing staff
  • In Office Infusion Coordinators
  • Revenue Cycle
  • Insurance companies
  • Manufacturer reimbursement support teams
  • Outside infusion facilities
Provide timely updates regarding authorization status, financial barriers, payer changes, and treatment readiness.
Maintain complete and accurate documentation within the electronic health record, including:
  • Benefit investigations
  • Prior authorizations
  • Appeals
  • Financial assistance approvals
  • Insurance correspondence
  • Patient communications
  • Outside referral tracking
Learn more about AARA on our website at http://azarthritis.com
Requirements
Essential
  • Minimum two years of experience in infusion, rheumatology, oncology, specialty practice, or medical insurance coordination.
  • Experience with physician-administered medications and buy-and-bill reimbursement.
  • Extensive knowledge of medical benefit investigations and prior authorizations.
  • Experience with Medicare, Medicare Advantage, Medicaid, and commercial payer policies.
  • Experience with manufacturer copay assistance and charitable foundation programs.
  • Experience using Nextgen.

Apply