remote prior authorization jobs in Phoenix

Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want...

Prior Authorization Specialist Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer policy, step therapy requirements, and paperwork so the patient never had to. We're looking for someone who thrives on solving that puzzle quickly and accurately. Why This Role Feels Different This isn't a repetitive data-entry...

About This RoleThe Prior Authorization Specialist - Procedures exists to advocate for Redirect Health members by coordinating surgical care, managing costs, and ensuring high-quality outcomes at fair, negotiated rates.In this role, you will:Serve Redirect Health members navigating surgical proceduresBe responsible for coordinating surgical care, negotiating...

Company DescriptionWhy You Should Work For Us:HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including:...

What You’ll Do as a Oncology Coordinator:The oncology coordinator is the dedicated advocate for all oncology needs throughout the member’s treatments.Coordinates for chemotherapy, radiation, and surgical oncology.Obtain all pertinent treatment details specific to the treatment plan and check against plan benefits for accurate service coverage.Partner...

Company DescriptionHealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail...

Job Title- Clinical Prior Authorization Reviwer Location-phoenix, AZ OR Remote as well Duration- 03 Month+ Contarct Work hours: Remote okay, but must work Arizona/Phoenix hours. Reliability is important. Pay Rate:$45/Hour On w2 What they really need: RN/Clinical background Strong Prior Authorization (PA) / Utilization Management (UM) experience Health...

HOPCo is seeking a Surgical Authorization Specialist for a remote role. You will monitor upcoming surgical case authorizations, verify demographics and eligibility, and complete cost estimations for pre-service collection. The position requires at least 2 years in healthcare, strong organizational and data-entry skills, and the ability to communicate...

Essential Functions • Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner. • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow...

Surgical Authorization Specialist- Remote Job Category : Clinic Support Supervisor : Emily Hood Requisition Number : SURGI012943 Posted : October 2, 2026 Full-Time Remote Locations Showing 1 location Description ESSENTIAL FUNCTIONS Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations...

The CORE Institute | HOPCo is seeking a Surgical Authorization Specialist for a remote role. You will monitor upcoming surgical case authorizations, verify demographics, eligibility, and coordination of benefits to ensure timely processing. Responsibilities include documenting authorizations in the patient chart, communicating with physicians and staff,...

Amerita in Scottsdale, AZ is seeking a Scheduler to coordinate nursing visits and work with Subcontracted Agencies (SUB). The role oversees approvals of nursing documents, creates delivery tickets, tracks plans of treatments, and manages authorizations and invoices. The role supports coordination with Intake, Sales and Pharmacy staff, reviews nursing notes,...

ESSENTIAL FUNCTIONS · Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner. · Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow...

At Redirect Health, we're on a mission to make healthcare accessible and affordable for everyone. We are currently accepting applications for Oncology Coordinator roles. We are seeking a compassionate and organized healthcare professional looking to make a meaningful impact. As an Oncology Coordinator, you'll play a vital role in supporting our members with...

NOW HIRING INSURANCE AUTHORIZATION REPRESENTATIVE - REMOTE ABOUT US Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. We are a mission-driven company with an emphasis on providing...

Are you looking to make a difference in people’s lives while directly impacting the growth of a high-caliber startup in Phoenix? Super is looking to add a talented person to our service authorizations team. In this role, you will communicate with customers and service providers through multiple channels including email, phone, and our online platforms; and...

ESSENTIAL FUNCTIONS· Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner.· Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing...

The Authorization Specialist II, RCM is a position that performs the authorization requests for all insurances. In this role, you will report to the Authorization Manager, RCM.Duties/Responsibilities:Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients, monthly on patients with non-Medicaid insurances, and...

Summary As a Veterans Service Representative (VSR) (Authorizer), the incumbent will play a vital role in ensuring that our Veterans receive the compassionate care and benefits they deserve. You will oversee complex benefit claims, explain benefit programs and entitlement criteria, and provide final decisions on compensation and pension claims. This position...

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...