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 ...
New
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 ...
New
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 ...
New
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 ...
New
Tempe, AZ · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior ... remote location with management approval based on business requirements). Must provide adequate ...
Tempe, AZ · On-site +1
$22.55 - $27.41/hr
Uses various business applications to perform analysis, obtain information, and enter prior ... remote location with management approval based on business requirements). Must provide adequate ...
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 ...
Flagstaff, AZ · Remote
$47K - $52K/yr
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to ... Remote-first -- work from home anywhere within our approved states * Growth: Tailored professional ...
Quick apply
Flagstaff, AZ · Remote
$47K - $52K/yr
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to ... Remote-first -- work from home anywhere within our approved states * Growth: Tailored professional ...
Phoenix, AZ · On-site +1
$17/hr
Our Fortune 5 client is hiring for Medical Insurance Specialist with Prior-Authorizations background and Insurance verification background! This is Remote ! PAID weekly!!!! Position: Medical ...
Phoenix, AZ · On-site +1
$17/hr
Our Fortune 5 client is hiring for Medical Insurance Specialist with Prior-Authorizations background and Insurance verification background! This is Remote ! PAID weekly!!!! Position: Medical ...
Scottsdale, AZ · On-site +1
$19/hr
Location: 100% Remote?? Equipment: Provided & Shipped to You ?? Schedule: Monday-Saturday | Shifts ... Process Prior Authorizations (PAs) & Insurance Verification ? Communicate with patients, providers ...
Scottsdale, AZ · On-site +1
$19/hr
Location: 100% Remote?? Equipment: Provided & Shipped to You ?? Schedule: Monday-Saturday | Shifts ... Process Prior Authorizations (PAs) & Insurance Verification ? Communicate with patients, providers ...
Phoenix, AZ · On-site +1
$19/hr
Remote Equipment: Provided and Shipped Start Date: TBD Job Duties include ... Prior-Authorizations (PAs) and Insurance Verification * Communicate w/ patients, providers ...
Phoenix, AZ · On-site +1
$19/hr
Remote Equipment: Provided and Shipped Start Date: TBD Job Duties include ... Prior-Authorizations (PAs) and Insurance Verification * Communicate w/ patients, providers ...
... Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG ... Analyze medical records and apply medical necessity criteria and benefit plan requirements to ...
... Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG ... Analyze medical records and apply medical necessity criteria and benefit plan requirements to ...
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 ...
... prior authorization, utilization management, drug utilization review, clinical criteria ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... prior authorization, utilization management, drug utilization review, clinical criteria ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
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
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Phoenix, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Tucson, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Tucson, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Avondale, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Avondale, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Glendale, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Glendale, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Gilbert, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Gilbert, AZ · Remote
$26.41 - $51.49/hr
The ideal candidate will have experience with UM and prior authorization with both inpatient and ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
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 ...
Surprise, AZ · Remote
$20/hr
Fully remote role but MUST live in the state of Arizona Schedule: 5am to 6:30pm, Monday through ... Prior authorization, customer support, customer services, Customer service, Epic, Insurance ...
Surprise, AZ · Remote
$20/hr
Fully remote role but MUST live in the state of Arizona Schedule: 5am to 6:30pm, Monday through ... Prior authorization, customer support, customer services, Customer service, Epic, 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
This job post has expired 2 days ago. Applications are no longer accepted.
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
