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Remote Prior Authorization Rn Jobs in Arizona (NOW HIRING)

Onco360

Pharmacy Prior Authorization Specialist

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 ...

Banner Health

RN Medical Management

Phoenix, AZ · Remote

Prior Authorization Work Shift: Day Job Category: Clinical Care Better Than Ever for Nurses. At ... THIS IS A REMOTE POSITION Monday-Friday 8:00AM- 5:00PM AZ TIME WITH ROTATING WEEKENDS EVERY 8 th ...

Point Quest Group

Registered Nurse

Tolleson, AZ · Remote

Registered Nurse Pay Range: Based on experience Tolleson, AZ | Part-Time | 2026-2027 School Year ... Provide ongoing remote support of approximately 2 hours per month, including check-ins with the ...

SmithRx

Pharmacy Technician (Seasonal)

Phoenix, AZ · Remote

$17.50 - $21/hr

Review prior authorization and similar requests under protocol using prior authorization criteria ... Our company is currently able to offer remote contract employment for this position exclusively to ...

Teema Group

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ... Remote or onsite depending on business needs * Must have a secure home office setup if remote

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Remote Prior Authorization Rn information

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

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Remote Prior Authorization Rn jobs near you
Infographic showing various Remote Prior Authorization Rn job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution.

Pharmacy Prior Authorization Specialist

Scottsdale, AZ • On-site, Remote

Onco360
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Onco360external

$20.75 - $26.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 hours ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

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 October 31, 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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