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Prior Authorization Jobs in Arizona (NOW HIRING)

GI Alliance

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 ...

GI Alliance

Prior Authorizations Rep (30486)

Glendale, AZ · On-site

$15.50 - $19.75/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 ...

Phoenix Heart

Authorization Coordinator

Glendale, AZ · On-site

$18.50 - $22.75/hr

The Authorization Coordinator secures prior authorization for diagnostic tests, verifies insurance eligibility, and benefits and checks for certain medical necessity requirements prior to the patient ...

Phoenix Heart PLLC

Authorization Coordinator

Glendale, AZ · On-site

$18.50 - $22.75/hr

The Authorization Coordinator secures prior authorization for diagnostic tests, verifies insurance eligibility, and benefits and checks for certain medical necessity requirements prior to the patient ...

Phoenix Heart

Authorization Coordinator

Glendale, AZ · On-site

$16.75 - $20.75/hr

The Authorization Coordinator secures prior authorization for diagnostic tests, verifies insurance eligibility, and benefits and checks for certain medical necessity requirements prior to the patient ...

Phoenix Heart

Authorization Coordinator

Glendale, AZ · On-site

$18.50 - $22.75/hr

The Authorization Coordinator secures prior authorization for diagnostic tests, verifies insurance eligibility, and benefits and checks for certain medical necessity requirements prior to the patient ...

Arizona Priority Care

Prior Auth RN

Chandler, AZ · On-site

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 Intersect Group

Authorization Specialist

Phoenix, AZ · On-site

$20 - $27/hr

This role focuses on surgical prior authorizations, insurance verification, and accurate documentation to support the scheduling team. What You'll Do: * Verify insurance eligibility, benefits, and ...

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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 Aug 10, 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.

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.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent and gain 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 Medical Administrative Assistant (CMAA) can also enhance job prospects.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the career paths in prior authorization?

Careers in prior authorization typically include roles such as prior authorization specialists, medical reviewers, and healthcare administrators. Advancement can lead to supervisory or managerial positions, and professionals often develop skills in healthcare regulations, insurance policies, and medical coding. Certifications in medical billing and coding can enhance career growth in this field.

What is prior authorization?

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.
More about Prior Authorization jobs
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 job categories do people searching Prior Authorization jobs in Arizona look for? The top searched job categories for Prior Authorization jobs in Arizona are:
What cities in Arizona are hiring for Prior Authorization jobs? Cities in Arizona with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Arizona as of August 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 Authorizations Rep (30486)

GI Alliance

Glendale, AZ • On-site

$17.50 - $22.25/hr

Full-time

Posted 25 days ago

GI Alliance rating

6.4

Company rating: 6.4 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

640th of 887 rated healthcare providers

Job description

Description
Academic Urology & Urogynecology of Arizona is a premier urology practice offering compassionate patient care to individuals throughout Arizona.
  • Review EMR chart messaging and review schedules daily for upcoming surgical & in-office procedures
  • Review chart documentations to ensure patient meets medical policy guidelines
  • Prioritize authorization requests according to urgency
  • Obtain authorization via payer website or by phone and follow up regularly on pending cases
  • Verify coverage and benefits and calculate any out-of-pocket portions due
  • Contact patients to review any out-of-pocket portions due prior to surgery

Requirements
  • Minimum 1 year prior authorization experience
  • Understanding of payer medical policy guidelines to manage authorizations effectively
  • Proficient use of CPT and ICD10 codes
  • Detail-oriented and above-average organizational skills
  • Plans and prioritizes to meet deadlines
  • Ability to multitask and remain focused while managing a high volume, time-sensitive workload
  • Urology experience helpful

Requirements
Physical Requirements:
Requires sitting for extended periods. Some bending, stretching, and stooping required. Manual dexterity enough to use a keyboard and calculator. Normal range of hearing and vision and verbal communication is required. Use of a telephone is required.
Performance Requirements:
Knowledge of billing and insurance practices and procedures as well as regulations including Medicare, Medicaid, and third-party insurance companies including managed care contracts. Knowledge of current ICD-10 and CPT codes is required. Strong communication skills are required.

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