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Prior Authorization Jobs in Arizona (NOW HIRING)

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 September 30, 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 September 30, 2026! Join a ...

The Prior Authorization RN is responsible for reviewing and processing medical prior authorization requests to ensure services are medically necessary, meet evidence-based guidelines, and align with ...

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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 (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 ...

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 ...

Authorization Coordinator

Glendale, AZ

$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 ...

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 ...

Showing results 21-40

Prior Authorization information

See Arizona salary details

$12

$19

$30

How much do prior authorization jobs pay per hour?

As of Sep 3, 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 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.

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, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization 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 certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

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 most commonly searched types of Prior Authorization jobs in Arizona?

The most popular types of 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:

Infographic showing various Prior Authorization job openings in Arizona as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% In-person job distribution, with an average salary of $40,499 per year, or $19.5 per hour.

Pharmacy Prior Authorization Specialist

Onco360

Scottsdale, AZ • On-site

$20.75 - $26.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago


Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 113 rated pharmacies


Job description

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 September 30, 2026!
Join a mission-driven team making a difference in the lives of cancer patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Scottsdale, AZ. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.

Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability

What You'll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You'll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.

What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds

Preferred:
  • 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 and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion

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