Job Description
Prior Authorization Specialist
Phoenix, AZ
Overview:
Our team in Phoenix is seeking an efficient Prior Authorization Specialist to manage the authorization process from start to finish, helping patients get the care they need without delay. Youll work closely with providers, insurance payers, and internal staff in a consistent MondayFriday daytime role.
Position Offers:
- Schedule: MondayFriday, 8:00 AM4:00 PM
- Competitive pay: $23 - $25 per hour (DOE)
- Health insurance
- Paid Time Off (PTO)
- Sick Time Off (STO)
- Paid holidays
Key Responsibilities:
- Obtain authorizations and verify insurance benefits and eligibility for procedures, diagnostic tests, medications, and other services
- Initiate, submit, and track prior authorization requests based on provider orders
- Review clinical documentation and coding (ICD-10, CPT, HCPCS) to ensure completeness and alignment with payer requirements before submission
- Communicate with insurance companies to clarify coverage, resolve authorization issues, and follow up on pending or denied requests
- Collaborate with physicians, clinical staff, and front-office teams to obtain necessary clinical information
- Document all authorization activities, decisions, and payer communications accurately in the electronic health record (EHR) and practice management systems
- Monitor authorization status and proactively address delays, denials, and appeals to support timely patient scheduling
- Manage a high volume of cases, prioritizing workload while meeting turnaround times, and stay current on payer policies and practice protocols
Qualifications:
- Minimum 1 year of experience as a prior authorization or insurance eligibility specialist
- Knowledge of insurance eligibility and benefits
- Excellent phone skills and insurance knowledge
- Efficient and easygoing professional
- Experience in a physician office or outpatient setting, with appeals and denials, payer portals, or specialty authorizations (imaging, surgery, specialty pharmacy), preferred
Why Join Us:
Join a collaborative team where your insurance expertise keeps patient care moving, with a consistent weekday daytime schedule and strong benefits.
Canisha Brady
JOB-11946
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One Stop Recruiting is an equal opportunity employer. We offer equal employment and contract opportunities regardless of race, color, gender, religion, age, nationality, social or ethnic origin, sexual orientation, gender identity or expression, marital status, pregnancy, disability, veteran status, or any other characteristic protected by law.