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Prior Authorization Associate Jobs in Arizona (NOW HIRING)

SMI IMAGING LLC

Pre-Authorization Representative

Phoenix, AZ · On-site

$39K - $54K/yr

Obtains pre-certification and registration prior to a patient's appointment. * Gathers pertinent ... Requires an associate's degree or its equivalent and 2-4 years of experience. PHYSICAL DEMANDS:

SMI IMAGING LLC

Pre-Authorization Representative

Phoenix, AZ · On-site

$39K - $54K/yr

Obtains pre-certification and registration prior to a patient's appointment. * Gathers pertinent ... Requires an associate's degree or its equivalent and 2-4 years of experience. PHYSICAL DEMANDS:

Arizona Arthritis and Rheumatology

Admin MA

Phoenix, AZ · On-site

$18.25 - $24/hr

... Associates, P.C. is the largest private Rheumatology practice in the United States. The practice ... Verifying Prior Authorizations * Liaise with Prior Authorizations department to facilitate the ...

Adecco

Medical Assistant

Casa Grande, AZ · On-site

$20 - $23/hr

... prior authorization and insurance eligibility skills · Liaison between patients and provider ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Arizona Neurology Associates

Be Seen First

New Patient Coordinator

Sun City, AZ · On-site

$18 - $20/hr

Process New Patient documents - verify insurance eligibility - obtain prior authorizations as necessary - contact patients - schedule appointments. Experience with EMR systems - we use eCW ...

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Prior Authorization Associate information

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 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 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 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.

Is a prior authorization associate a stressful job?

A prior authorization associate's job can be stressful due to the need for accuracy, meeting deadlines, and managing complex insurance requirements. The role often involves handling high volumes of requests and communicating with healthcare providers and insurers, which can contribute to workplace pressure.

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

Admin MA

ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES

Lake Havasu City, AZ • On-site

$17.50 - $23/hr

Full-time

Re-posted 29 days ago

Job description

Description:

Recently named one of Arizona's Top Workplaces, Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States. The practice has over 51 providers, 11 sites and over 250 employees providing assessment and treatments for rheumatological, podiatric, and electromyography 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.

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 Administrative Medical Assistant to join our team 

The Administrative Medical Assistant (Admin MA) acts as liaison between the AARA Physician / Provider Team and patients. The Admin MA facilitates messages, documentation, authorizations, prescriptions and assessments and, either reactively or proactively as the situation demands, communicates directly with patients to ensure all necessary information, authorizations and documentation are in place for future interactions with the organization or appropriate third-party organizations.


RESPONSIBILITIES

  • Processing Patient Messages
  • Understanding and escalating patient issues as necessary to AARA Provider(s)
  • Liaising with patient(s) to ensure medications are authorized, ordered and available for pickup
  • Liaising with Provider(s) to ensure reviews are completed and relevant information and communicating with patient as required
  • Ensuring all communication and messages are HIPAA compliant
  • Processing Assessments / Documentation
  • Ordering lab/radiology assessments
  • Escalating abnormalities to Provider(s) for assessment
  • Facilitating provision of medical records to patient or third party as required
  • Verifying Prior Authorizations
  • Liaise with Prior Authorizations department to facilitate the provision of assessment, medication and/or infusion orders
  • Processing Medication Refills / e-Refills
  • Facilitating medication refills under Provider guidelines and parameters
  • Ensuring validity of refill request and escalating concerns to Provider(s)
  • Preparing approved requests for Provider signature
  • Follow up Tasks
  • Cleaning all Provider charts to ensure all pending assessments and/or documentation is in place prior to follow-up appointment 

Learn more about AARA on our website at http://azarthritis.com

Requirements:

Knowledge, Skill, Training and Experience to do the Job

Essential

  • Proven, successful experience in supporting medical professionals
  • Excellent verbal and written communication skills
  • Proficient in the use of computer applications, including detailed experience with at least one EHR system
  • Familiarity with insurance billing and medical coding
  • Proven multi-tasking proficiency
  • Must be personable and professional.
  • Must be able to handle a stressful workload with changing priorities
  • Degree, MA certificate from an accredited institution or equivalent sector experience

Desirable

  • Experience in a role focused on liaising between patient and Provider / Healthcare Organization
  • Experience in utilizing EHR system