Phoenix Heart: Provides comprehensive cardiology, vascular, and vein medical care services.
2+ YOE2+ years related experience, knowledge of medical insurance and authorizations, diagnostic authorization testing experience, high school diploma, strong communication, organization, confidentiality, and PC/EMR proficiency.
Canyon Home Care & Hospice: Provides home health, hospice, and pediatric medical services.
Knowledge of medical terminology, insurance authorization and verification, regulatory requirements, and ICD/CPT codes preferred; strong technical, communication, interpersonal, and organizational skills required.
Canyon Home Care & Hospice: Provides comprehensive in-home medical, hospice, and pediatric care services.
Requires medical terminology, insurance authorization and verification knowledge, strong technical skills with Word, Excel, and Acrobat, communication skills, regulatory knowledge, and age 21 or older.
Integrated Medical Services (IMS): Physician-led multi-specialty group providing comprehensive outpatient healthcare services.
2+ YOE1+ MgmtSupervisory experience with healthcare referral/authorization processing, knowledge of ICD-10/CPT and insurance claims, 2+ years processing referrals or insurance verification, strong communication and organizational skills.
Global Medical Response: Provides air and ground emergency medical transport services.
1+ YOEHigh school/GED, 1+ year medical billing experience with prior authorization, EMT preferred, 50 WPM typing, Microsoft Office proficiency, knowledge of HIPAA and Medicare/Medicaid guidelines.
Global Medical Response: Provides emergency medical, ambulance, and disaster response services.
1+ YOEHigh school diploma/GED, 1+ year medical billing/prior authorization experience, EMT or medical experience preferred, BLS/HIPAA knowledge, typing 50 WPM, Microsoft Office familiarity, strong communication skills.
Pure Infusion Suites: Provides outpatient medical infusion and injection therapy services.
2+ YOE2+ years MA experience with prior authorization/biologic experience, MA certification, high school diploma, ability to interpret clinical documentation, and proficiency with EMR/CRM systems.
Foothills Neurology: Specialized neurology and movement disorder medical practice.
3+ YOE3+ years prior authorization/referrals or related medical office experience; high school diploma/GED; knowledge of insurance processes and medical terminology; experience with Athena; strong communication and organizational skills.
Ironwood Cancer & Research Centers: Provides comprehensive outpatient cancer care and clinical research services.
1+ YOEHigh school diploma or equivalent, 1–3 years in a medical office, medical terminology and insurance verification knowledge, and Microsoft Office and Outlook proficiency; coding knowledge preferred.
MedImpact: Independent pharmacy benefit management and healthcare technology services provider.
1+ YOEGED/HS diploma and 1+ year experience; pharmacy technician license or CPhT required; intermediate Microsoft Word/Excel/Outlook and Windows database experience; ability to analyze and document prior authorization requests.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Windows
Palo Verde Cancer Specialists: Specialized medical services for cancer and blood disorders.
0.5+ YOEObtain insurance benefits and prior authorizations, educate patients on coverage, assess financial ability, document demographics and authorizations; knowledge of EMR, medical terminology, ICD-10 and CPT.
Shields Health Solutions: Integrates specialty pharmacy services into hospitals and health systems
3+ YOEState registration and national CPhT certification, 3+ years pharmacy technician experience (specialty pharmacy preferred), high school diploma/GED, leadership experience preferred, Microsoft Excel/Word and EMR system proficiency, ability to travel up to 20%.
Microsoft Office, Microsoft Excel, Microsoft Word, Willow, Qs1, RX30, EMR
Phoenix or Boise or Nashville or Jefferson City or Austin or Annapolis or Boulder or Tallahassee or Carson City or Harrisburg or Topeka or Raleigh or Charleston or Seaford or Lansing
$18-$20/hrRemoteFull Time
Blue Cloud Pediatric Surgery Centers: Operates specialized ambulatory surgery centers for pediatric dental care.
1+ YOEHigh school diploma; 1 year insurance verification/billing preferred; strong benefits knowledge; ability to handle multiple tasks in deadline-driven environment.
Medical Billing Software, Office Suite, HIPAA Compliance Systems
Jewish Family & Children's Service: Providing social services and behavioral healthcare to Arizona residents.
Experience with eligibility and insurance verification, authorization requests, payer guidelines, HIPAA, EMR documentation, and customer service. High school diploma/GED and DPS fingerprint clearance required.
Arizona Arthritis & Rheumatology Associates: Provides specialized rheumatology care and medical infusion therapy in Arizona.
2+ YOERequires 2+ years in infusion, rheumatology, oncology, specialty practice, or medical insurance coordination; knowledge of benefit investigations, prior authorizations, payer policies, copay assistance, and buy-and-bill reimbursement.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHigh school diploma/GED, 1+ year pharmacy/prior authorization experience, Board of Pharmacy registration, strong communication and organizational skills, knowledge of pharmacy claims, NCPDP rejection resolution, and CoverMyMeds.
Authorization Representative Wound and Plastic Surgery Clinic
Phoenix, Arizona, United States
OnsiteFull Time
Banner Health: Non-profit integrated healthcare system providing medical and insurance services.
1+ YOEHigh school diploma/GED or equivalent knowledge, strong verbal and written communication, office software proficiency, and preferably 1+ year in a medical office or insurance environment with medical terminology and coding knowledge.
Sanctuary Recovery Centers: Provides addiction treatment and mental health recovery services.
2+ YOE2+ years utilization review or behavioral health administration experience, knowledge of AHCCCS authorization and timely filing, EHR experience, strong communication and organizational skills.
Clinical Pharmacist - Aetna Medicaid Prior Authorization (AZ or TX Licensed)
Phoenix or Kansas or Texas or Oklahoma or United States
$95k-$176k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOEActive unrestricted Arizona or Texas pharmacist license; obtain the other within 90 days. Requires 3+ years as a pharmacist, clinical decision-making, formulary knowledge, and managed care experience.