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Prior Authorization Jobs in Arizona (NOW HIRING)

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Botox Prior Authorization

Phoenix, AZ · On-site

$20 - $25/hr

A Botox Prior Authorization Specialist secures insurance approval for therapeutic Botox injections (e.g., migraines, spasms, hyperhidrosis) by verifying benefits, reviewing medical records for ...

Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and client performance commitments. Uses various business applications to perform analysis ...

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Prior Authorization Rep

Chandler, AZ · Hybrid

$39K - $54K/yr

The Prior Authorization Representative I is responsible for processing incoming requests including verifying eligibility and benefits and the data entry component of the prior authorization request.

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site

$20.75 - $26.75/hr

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 August 31, 2026! Join a ...

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

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 August 31, 2026! Join a ...

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Obtain prior authorizations for sleep studies and related services. * Confirm authorization approvals, including accurate start and end dates. * Verify referrals and ensure all required documentation ...

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Obtain prior authorizations for sleep studies and related services. * Confirm authorization approvals, including accurate start and end dates. * Verify referrals and ensure all required documentation ...

Prior Authorizations Rep (31182)

Glendale, AZ · On-site

$17.50 - $22.25/hr

Obtain authorization via payer website or by phone and follow up regularly on pending cases ... Minimum 1 year prior authorization experience * Understanding of payer medical policy guidelines to ...

Prior Authorizations Rep (30486)

Glendale, AZ · On-site

$17.50 - $22.25/hr

Obtain authorization via payer website or by phone and follow up regularly on pending cases ... Minimum 1 year prior authorization experience * Understanding of payer medical policy guidelines to ...

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Prior Authorization information

See Arizona salary details

$12

$19

$30

How much do prior authorization jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for prior authorization in Arizona is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $21.49 per hour, depending on experience, location, and employer.

How to 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 billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Professional Coder (CPC) can enhance job prospects.

What jobs pay $4000 a week without a degree?

Jobs that can pay $4,000 a week without a degree include certain sales roles, real estate agents, commercial pilots, and skilled trades such as electricians or plumbers with experience. These positions often require specialized skills, certifications, or licensing but do not necessarily require a college degree. High earnings typically depend on experience, performance, and the industry environment.

How much do precertification specialists make?

Precertification specialists typically earn between $35,000 and $55,000 annually, depending on experience, location, and employer. They often require knowledge of insurance policies and medical billing systems, and some roles may offer additional benefits or bonuses.

What Is Prior Authorization?

Prior authorization is a check done by insurance companies and other third-party payers to determine whether or not they should pay for a medical procedure or specific medication. Factors that can trigger prior authorization requests include things like age, the availability of alternative medicines, or the need to check for drug interactions. If they reject the prior authorization, payers often require doctors to attempt the insurance company's preferred procedure and verify unsuccessful results before accepting an alternative treatment plan. Pre-authorization requests can take up to 30 days, though insurance companies and healthcare providers are continuing to work on ways to cut this time down.

What are the key skills and qualifications needed to thrive as a Prior Authorization Specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by Prior Authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

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

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

What is prior authorization in healthcare?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.

What career paths follow prior authorization?

Careers following prior authorization typically include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve working in insurance companies, healthcare providers, or pharmacy benefit management companies.
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 jobs in Arizona? For Prior Authorization jobs in Arizona, the most frequently searched job titles are:
What cities in Arizona are hiring for Prior Authorization jobs? Cities in Arizona with the most Prior Authorization job openings:
Infographic showing various Prior Authorization job openings in Arizona as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $40,499 per year, or $19.5 per hour.

Prior Authorization Specialist

Foothills Neurology PC

Phoenix, AZ • On-site

$20 - $25/hr

Full-time

Re-posted 4 days ago


Job description

Description:

Summary:

The Prior Authorization Specialist will handle all aspects of prior authorizations and referrals, ensuring timely and accurate processing. This role requires a detail-oriented individual who thrives in a high-volume environment and can manage multiple priorities at once.


Job Description:

Authorization Responsibilities

  • Process prior authorizations for medications, specialist referrals, and/or in-house procedures.
  • Review and Obtain Referrals and or Authorizations for Office visits
  • Manage the daily inbox, ensuring documents are processed promptly.
  • Review medical records to confirm insurance requirements are met.
  • Submit requests to insurance companies and follow up until completion.
  • Follow payer guidelines, HIPAA, and internal policies
  • Communicate approval/denial updates to providers, patients, and staff.
  • Maintain organized records of all authorization activities.
  • Perform basic quality checks on work completed by the team
  • Identify process gaps and communicate improvement opportunities
  • Collaborate with providers, clinical staff, and billing to ensure accuracy and compliance.

Required Education:

  • High School Diploma or GED

Required Experience:

  • Minimum 3 years of experience in prior authorizations, referrals, or a related medical office role.
  • Knowledge of insurance processes and medical terminology required.
  • Experience with Athena required.

Requested Qualifications/Skills:

  • Ability to perform efficiently and juggle multiple priorities in a fast-paced, high-volume environment.
  • Strong multitasking and organizational skills.
  • Strong communication, interpersonal, and problem-solving skills.
  • Ability to handle confidential information with discretion and professionalism.
  • Team collaboration skills.
Requirements: