Phoenix, AZ · Remote
$57.75 - $69.50/hr
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start ... review all prior authorization requests and render coverage determinations based on clinical ...
Phoenix, AZ · Remote
$57.75 - $69.50/hr
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start ... review all prior authorization requests and render coverage determinations based on clinical ...
Phoenix, AZ · Remote
$57.75 - $69.50/hr
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start ... review all prior authorization requests and render coverage determinations based on clinical ...
Phoenix, AZ · Remote
$57.75 - $69.50/hr
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start ... review all prior authorization requests and render coverage determinations based on clinical ...
Scottsdale, AZ · On-site +1
$20.75 - $26.75/hr
Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...
Scottsdale, AZ · On-site +1
$20.75 - $26.75/hr
Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...
Phoenix, AZ · Remote
$57.75 - $69.50/hr
CVS Health is seeking a Medicaid Prior Authorization Pharmacist to support our Medicaid PA program. This fully remote role is open to qualified candidates across the United States and requires active ...
Phoenix, AZ · Remote
$57.75 - $69.50/hr
CVS Health is seeking a Medicaid Prior Authorization Pharmacist to support our Medicaid PA program. This fully remote role is open to qualified candidates across the United States and requires active ...
Phoenix, AZ · Remote
$57.75 - $69.50/hr
CVS Health is seeking a Medicaid Prior Authorization Pharmacist to support our Medicaid PA program. This fully remote role is open to qualified candidates across the United States and requires active ...
Phoenix, AZ · Remote
$57.75 - $69.50/hr
CVS Health is seeking a Medicaid Prior Authorization Pharmacist to support our Medicaid PA program. This fully remote role is open to qualified candidates across the United States and requires active ...
Phoenix, AZ · On-site +1
$17.25 - $23/hr
... analysis form, documenting the required surgical cost estimation for collection prior to services. * Verifies benefits on all surgical procedures. * Document authorizations and progress of ...
Phoenix, AZ · On-site +1
$17.25 - $23/hr
... analysis form, documenting the required surgical cost estimation for collection prior to services. * Verifies benefits on all surgical procedures. * Document authorizations and progress of ...
Phoenix, AZ · On-site +1
$83K/yr
REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical Support Level, Management/Supervisor, Healt ... DFSM Medical Prior Authorization/Utilization Review (PA/UR) and Non-Emergency Medical ...
Phoenix, AZ · On-site +1
$83K/yr
REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical Support Level, Management/Supervisor, Healt ... DFSM Medical Prior Authorization/Utilization Review (PA/UR) and Non-Emergency Medical ...
Phoenix, AZ · On-site +1
$17.25 - $23/hr
... analysis form, documenting the required surgical cost estimation for collection prior to services. * Verifies benefits on all surgical procedures. * Document authorizations and progress of ...
Phoenix, AZ · On-site +1
$17.25 - $23/hr
... analysis form, documenting the required surgical cost estimation for collection prior to services. * Verifies benefits on all surgical procedures. * Document authorizations and progress of ...
Phoenix, AZ · On-site +1
$17/hr
If you're detail-oriented, compassionate, and experienced in medical benefits or prior authorizations , this opportunity is for you! NOW HIRING! Position: Remote Medical Benefits Rep| $17/hr. Weekly ...
New
Phoenix, AZ · On-site +1
$17/hr
If you're detail-oriented, compassionate, and experienced in medical benefits or prior authorizations , this opportunity is for you! NOW HIRING! Position: Remote Medical Benefits Rep| $17/hr. Weekly ...
New
Phoenix, AZ · On-site +1
$19/hr
Are you experienced in medical claims, prior authorizations, insurance verification, or revenue ... Fully remote work environment ? Immediate openings with a leading healthcare organization
Phoenix, AZ · On-site +1
$19/hr
Are you experienced in medical claims, prior authorizations, insurance verification, or revenue ... Fully remote work environment ? Immediate openings with a leading healthcare organization
Phoenix, AZ · On-site +1
$39K - $54K/yr
NOW HIRING INSURANCE AUTHORIZATION REPRESENTATIVE - REMOTE ABOUT US Blue Cloud is the largest ... Obtain prior authorization for procedures. * Research follow up and resolve open & pending ...
Phoenix, AZ · On-site +1
$39K - $54K/yr
NOW HIRING INSURANCE AUTHORIZATION REPRESENTATIVE - REMOTE ABOUT US Blue Cloud is the largest ... Obtain prior authorization for procedures. * Research follow up and resolve open & pending ...
Phoenix, AZ · On-site +1
$19/hr
If you're detail-oriented, compassionate, and experienced in medical benefits or prior authorizations , this opportunity is for you! NOW HIRING! Position: Remote Medical Claims Specialist| $19/hr.
New
Phoenix, AZ · On-site +1
$19/hr
If you're detail-oriented, compassionate, and experienced in medical benefits or prior authorizations , this opportunity is for you! NOW HIRING! Position: Remote Medical Claims Specialist| $19/hr.
New
Phoenix, AZ · Remote
... prior authorization transactions. The EDI Specialist works with claims and payment teams on the ... This position has the potential to be remote in the following states: Arizona, Nevada, California ...
Quick apply
Phoenix, AZ · Remote
... prior authorization transactions. The EDI Specialist works with claims and payment teams on the ... This position has the potential to be remote in the following states: Arizona, Nevada, California ...
Phoenix, AZ · Remote
... prior authorization transactions. The EDI Specialist works with claims and payment teams on the ... This position has the potential to be remote in the following states: Arizona, Nevada, California ...
Phoenix, AZ · Remote
... prior authorization transactions. The EDI Specialist works with claims and payment teams on the ... This position has the potential to be remote in the following states: Arizona, Nevada, California ...
Phoenix, AZ · Remote
... prior authorization transactions. The EDI Specialist works with claims and payment teams on the ... This position has the potential to be remote in the following states: Arizona, Nevada, California ...
Phoenix, AZ · Remote
... prior authorization transactions. The EDI Specialist works with claims and payment teams on the ... This position has the potential to be remote in the following states: Arizona, Nevada, California ...
Phoenix, AZ · On-site +1
As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... prior authorizations, appeals processes, and patient support financial assistance offerings. This ...
Phoenix, AZ · On-site +1
As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... prior authorizations, appeals processes, and patient support financial assistance offerings. This ...
As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... prior authorizations, appeals processes, and patient support financial assistance offerings. This ...
As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... prior authorizations, appeals processes, and patient support financial assistance offerings. This ...
Phoenix, AZ · On-site +1
$120K - $150K/yr
... remote work, should be performed within Arizona unless an exception is properly authorized in ... Such presentations shall be made available to the Council prior to dissemination. Director shall be ...
Phoenix, AZ · On-site +1
$120K - $150K/yr
... remote work, should be performed within Arizona unless an exception is properly authorized in ... Such presentations shall be made available to the Council prior to dissemination. Director shall be ...
Scottsdale, AZ · On-site +1
$60K/yr
This position is Full-Time , Remote , working Monday - Friday starting out 9:30am to 6:00pm then ... Support the facilitation of prior authorization and appeal processes by gathering necessary ...
Scottsdale, AZ · On-site +1
$60K/yr
This position is Full-Time , Remote , working Monday - Friday starting out 9:30am to 6:00pm then ... Support the facilitation of prior authorization and appeal processes by gathering necessary ...
Phoenix, AZ · On-site +1
$19/hr
Remote Medical Claims Specialist * Pay: $19/hr. Weekly Pay plus Benefits * Paid Training ... Prior-authorizations and Insurance Verification * Communicate w/ patients, providers, & insurance ...
Phoenix, AZ · On-site +1
$19/hr
Remote Medical Claims Specialist * Pay: $19/hr. Weekly Pay plus Benefits * Paid Training ... Prior-authorizations and Insurance Verification * Communicate w/ patients, providers, & insurance ...
| Aspect | Remote Prior Authorization Analyst | Remote Claims Processor |
|---|---|---|
| Required Credentials | Healthcare certifications, knowledge of insurance policies | Basic insurance knowledge, data entry skills |
| Work Environment | Home office, healthcare or insurance companies | Home office, insurance companies or third-party administrators |
| Employer & Industry | Hospitals, insurance providers, healthcare organizations | Insurance companies, third-party claims firms |
| Common Search/Comparison | Yes | Yes |
The Remote Prior Authorization Analyst and Remote Claims Processor roles both operate in the healthcare insurance industry and often require knowledge of insurance policies. However, the analyst focuses on obtaining prior approvals for treatments, while the claims processor handles the processing of insurance claims after services are rendered. Both roles are typically remote, involve working within healthcare or insurance organizations, and are frequently compared by job seekers seeking similar positions in the industry.
For Remote Prior Authorization Analyst jobs in Arizona, the most frequently searched job titles are:
The top searched job categories for Remote Prior Authorization Analyst jobs in Arizona are:
Cities in Arizona with the most Remote Prior Authorization Analyst job openings:
$57.75 - $69.50/hr
Full-time
Retirement
Posted 23 days ago
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates! Pay Rate: 53.00 per hour depending on what role we get you in for! 3 Different Departments hiring during this time of year - Here is the options: 2 Opening: 8am to 8pm EST/CST - 8hours per day M-F or 7am-330p EST/CST rotating weekends (September 8th and September 28th Start Dates - Hottest Openings) 1 Opening: Monday - Friday 930am - 6pm 1 Opening: (Sun-Thurs or Tues-Sat): 10:30am-7pm CST or 11am-7:30pm CST or 11:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design.
Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes.
As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.
This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.
Job Requirements:
Must be licensed Pharmacist in the State you Reside in Looking for Pharmacist with Prior Authorization Experience - PBM! (Not retail experience) Must have home office/ability to work from home with no distractions and plug in ethernet Benefits/401k Opportunity! Benefits are available to full-time employees after 90 days of employment A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Please apply now to these Pharmacist Openings! - Jared Petrill
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A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.
Recruiting and staffing services
201 - 500 Employees
Utica, MI, US
2004
