Prior Authorization Specialist

Found in: Lensa US P 2 C2 - 2 weeks ago


Scottsdale, United States Crawford Thomas Recruiting Full time
Prior Authorization Specialist - Scottsdale, AZ 85260

Our client is looking for a full-time Prior Authorization Specialist. This role will focus on benefits investigation and prior authorizations through the denials and appeals process. This position requires experience working the prior authorization process through CoverMyMeds.

Salary: $17-$20/hour + benefits
Start date: 2/2/2024
Location: first 90-days the role is in-office and after 90-days depending on performance, WFH is a possibility.
Shifts: M-F, 8:30a-5p EST, 10:30a-7p EST, and 12:30p-9p EST.

Duties:
  • Verifies patient insurance coverage utilizing phone or online resources
  • Submit prior authorizations to insurance plans in a timely manner via payer-specific portals and vendors
  • Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources
  • Ensures all pertinent medical documentation is accurate and present prior to authorization submission
  • Follows up on pending authorizations on a regular basis to obtain the current status or to be informed of any action needed in order to obtain the authorization approval

Requirements
  • Prior experience working in prior authorizations for medication
  • Prior experience with CoverMyMeds
  • Working knowledge of ICD-10 codes and prescription drug names
  • Benefits Investigation experience


About the Company:
Our client is a health-tech company, pioneering a software therapy deployment platform for Specialty Pharmacies. Partnering with pharmaceutical manufacturers, the company offers digital patient access services to improve health outcomes for patients by delivering affordable and timely access to high-cost Specialty therapeutics.

  • Scottsdale, United States CND Life Sciences Full time

    Job DescriptionJob DescriptionThe Patient Access Specialist III (PASIII) will be responsible for performing all the functions needed to complete prior authorizations (PAs) that are escalated and are unable to be completed by Patient Access Specialist I. The PASIII will work closely with members of the Patient Access, Revenue Cycle Management, and Clinical...


  • Scottsdale, United States CND Life Sciences Full time

    Job DescriptionJob DescriptionThe Patient Access Specialist I (PASI) will be responsible for performing all the functions needed to complete benefit verifications (BVs) from start to finish.; as well as be responsible for initiating prior authorizations (PAs). The PASI will work closely with members of the Patient Access, Revenue Cycle Management, and...


  • Scottsdale, United States American Vision Partners Full time

    Company Intro: At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center,...


  • Scottsdale, United States Max Home Inspections Full time

    AJF Inspections is a full-service Certified Home, Commercial, and Sewer Line Inspection Company, proudly serving the valley since 1996. With an impressive legacy of over 80 years of combined inspection experience, we are committed to providing our customers with peace of mind by delivering comprehensive inspection services and educating them on potential...


  • Scottsdale, United States Anasazi Stone Co Full time

    Job DescriptionJob DescriptionAccount Receivable Specialist REQUIREMENTS:Required Prior Experience: · Prior experience in Construction supply/building industry preferred· Minimum of 5 years’ experience· Bilingual would be very beneficial  WORK HOURS:· Monday -Friday     Office hours 7:00 am to 4:00 pm  30-40 Hours per weekDRESS CODE:...

  • Corporate Accounts Payable Specialist

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago


    Scottsdale, United States Troon Full time

    Troon Corporate headquarters located in Scottsdale, Arizona is excited to announce the exceptional career opportunity of Corporate Accounts Payable Specialist. Qualified candidates will thrive in a hospitality environment and be highly motivated to learn and progress their career with a Company experiencing a high volume of growth.Key Responsibilities can...


  • Scottsdale, United States Troon Full time

    Troon Corporate headquarters located in Scottsdale, Arizona is excited to announce the exceptional career opportunity of Corporate Accounts Payable Specialist. Qualified candidates will thrive in a hospitality environment and be highly motivated to learn and progress their career with a Company experiencing a high volume of growth.Key Responsibilities can...

  • Billing Specialist

    2 weeks ago


    Scottsdale, United States Turnwell Mental Health Network Inc Full time

    Job DescriptionJob DescriptionDescription:We are a high-end mental health clinic with office locations in Scottsdale, Glendale, and Tempe, Arizona. We provide face-to-face and telepsychiatry services at the clinics and to patients in multiple other organizations, rehabilitation centers, and detox facilities throughout Arizona. We strive to provide the best...


  • Scottsdale, United States GeoLogics Corporation Full time

    Senior Advanced Business Systems Specialist job is available with GeoLogics Top Aerospace & Defense company. In this remote, work from home, telecommute job you will bring a blend of traditional Business Analyst and Systems Analyst, using your expertise in Dynamics 365 to consult and collaborate with business leaders, IT staff, and other third parties to...

  • Accounts Payable Specialist

    Found in: Resume Library US A2 - 2 weeks ago


    Scottsdale, Arizona, United States Meritage Homes Corporation Full time

    Responsibilities: We are seeking an experienced AP Specialist for our Scottsdale, AZ office. Process invoices, work orders and POs for payments Verify approvals on request with the matrix; follow authorization limits per policy Run check reports and review prior to generating checks/ACH payments Generate weekly checks following the company’s payment...


  • Scottsdale, United States Shared Practices Group Full time

    Job DescriptionJob DescriptionDescription:Shared Practices Group is seeking a highly motivated, experienced Talent Acquisition Specialist who possesses a relentless drive to excel in their role. As a Talent Acquisition Specialist, you will be responsible for sourcing and recruiting clinical and non-clinical staff for our various locations. Collaborate with...


  • Scottsdale, United States Paradox Full time

    Are you a data detective, eager to identify and mitigate privacy risks? Is your superpower navigating the ever-changing landscape of data privacy regulations? Are you energized by finding creative solutions to complex privacy challenges? At Paradox, we believe when you get the people thing right, you can build teams that can change the world. We’re...


  • Scottsdale, United States Summit Consulting Full time

    Contract Surety Bond Underwriting Specialist / Manager page is loaded Contract Surety Bond Underwriting Specialist / Manager Apply locations Scottsdale, AZ (USA) time type Full time posted on Posted 3 Days Ago job requisition id R5146 Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's...


  • Scottsdale, United States Launchpad Home Group Full time

    AJF Inspections is a full-service Certified Home, Commercial, and Sewer Line Inspection Company, proudly serving the valley since 1996. With an impressive legacy of over 80 years of combined inspection experience, we are committed to providing our customers with peace of mind by delivering comprehensive inspection services and educating them on potential...


  • Scottsdale, United States CareerBuilder Full time

    Vendor Onboarding Specialist page is loaded Vendor Onboarding Specialist Apply locations Scottsdale, AZ time type Full time posted on Posted 9 Days Ago job requisition id JR110462 Looking for an opportunity with a dynamic, fun, and goal-oriented company? Were growing quickly and were looking for some not-so-typical talent to join our team. Progress...


  • Scottsdale, United States Progress Residential PM Holdings, LLC Full time

    Vendor Onboarding Specialist page is loaded Vendor Onboarding Specialist Apply locations Scottsdale, AZ time type Full time posted on Posted 9 Days Ago job requisition id JR110462 Looking for an opportunity with a dynamic, fun, and goal-oriented company? We’re growing quickly and we’re looking for some not-so-typical talent to join our team. Progress...


  • Scottsdale, United States Turnwell Mental Health Network Inc Full time

    Job DescriptionJob DescriptionDescription:We are a high-end mental health clinic with office locations in Scottsdale, Glendale, and Tempe, Arizona. We provide face-to-face and telepsychiatry services at the clinics and to patients in multiple other organizations, rehabilitation centers, and detox facilities throughout Arizona. We strive to provide the best...


  • Scottsdale, United States Turnwell Mental Health Network Inc Full time

    Job DescriptionJob DescriptionDescription:We are a high-end mental health clinic with office locations in Scottsdale, Glendale, and Tempe, Arizona. We provide face-to-face and telepsychiatry services at the clinics and to patients in multiple other organizations, rehabilitation centers, and detox facilities throughout Arizona. We strive to provide the best...


  • Scottsdale, United States Absolutely Able Home Care Full time

    Home Care practice looking for a new front office receptionist. Medical office staff experience is encouraged but it is not required. This position will offer 35+ hours of employment per week. Benefits are available. Office responsibilities will include the following: Manage phone callsPatient check-inPatient check-outScheduling/Rescheduling patientsCollect...

  • Camper Safety Specialist

    Found in: Resume Library US A2 - 7 days ago


    Scottsdale, Arizona, United States Summer Camp Advisory Team LLC Full time

    Company Overview: Summer Camp Advisory Team is the provider of Rancho Summer Day Camps for Rancho Solano Preparatory Schools in Scottsdale, Arizona. Our mission is to enrich the lives of children by simultaneously fostering fun and building character. Leadership, teamwork, preparation, initiative, and effort are life skills echoed repeatedly throughout our...