- BroadPath Healthcare Solutions (Tucson, AZ)
- …is excited to announce that we are hiring for work-at-home positions! ** Prior Authorization Representatives** will receive inbound phone calls and faxes ... medications prior authorizations only. The representatives will manage the prior authorization process for medications and provide updates on approval… more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... CRS, and private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology, CPT, and ICD-10… more
- CVS Health (Phoenix, AZ)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Certified Pharmacy Technicians (CPhT) are preferred and ... heart, each and every day. **Position Summary** Clinical Service Representative (CSR) takes in-bound calls from providers, pharmacies, members,...I, Level II, and Level III positions within the Prior Authorization (PA) team is a structured… more
- Aveanna Healthcare (Chandler, AZ)
- Change Order Representative (REMOTE) ApplyRefer a FriendBack Job Details Requisition #: 209233 Location: Chandler, AZ 85286 Category: Administrative/Clerical Salary: ... Trust, Innovation, Compliance, and Fun. Position Overview The Change Order Representative is responsible for reviewing changes on existing patient orders. Completion… more
- Enterprise Mobility (Phoenix, AZ)
- **Overview** Enterprise Mobility has an exciting opportunity for a Seasonal Customer Service Representative at the Sky Harbor Airport in Phoenix! This position has a ... April or May in 2026. The Seasonal Customer Service Representative will provide a high level of customer service...of age + Must have at least 1 year prior of face to face customer service experience within… more
- Banner Health (AZ)
- …and dental plan inquiries, and services of staff such as utilization review, prior authorization , billing and contract management. 6. Services inbound and ... including remote and hybrid opportunities. As a **Service Center Representative ** for Banner Plans & Networks you will take...goal of first call resolution. As a **Service Center Representative ** , you will be working in a remote… more
- Vanguard (Scottsdale, AZ)
- …give them the best chance for investment success." As an Advice Support Representative , you will partner closely with advisors to efficiently serve our advised ... your skill set and your career The Advice Support Representative role is a great launching point for individuals...not currently registered with FINRA in any capacity , prior to moving into this licensed role, you will… more
- TEKsystems (Phoenix, AZ)
- …support, medical terminology, medical billing, medical claim, insurance verification, Ehr, prior authorization , Patient service Top Skills Details schedule ... Description *Inbound healthcare contact center representative role *Managing phone and message inquiries from our patients and those involved in their care as they… more
- CVS Health (Phoenix, AZ)
- …will be accountable for researching and resolving member escalations including Prior Authorization status, Specialty/Mail Order prescription concerns, as well ... with heart, each and every day. **Position Summary** The Client Support Representative for Aetna Commercial Client Support will focus on delivering exceptional… more
- Molina Healthcare (Chandler, AZ)
- …Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and providers with… more
- HonorHealth (AZ)
- …eligibility and coverage and executes appropriate insurance notification procedures. Obtains prior authorization in order to avoid non-compliance, denials and/or ... penalties to the patient, hospital and physician(s). Initiates notifications to insurances as required. Checks for medical necessity and follows appropriate procedures depending on results. Keeps supervisor and/or lead informed of all unique situations and… more
- Vanguard (Scottsdale, AZ)
- …of time. Additionally, if you are not currently registered with FINRA in any capacity, prior to moving into this licensed role, you will be asked to provide ... authorization for Vanguard to conduct a credit and criminal check in accordance with the FINRA regulations. Please note, the credit and criminal check requirement… more
- Banner Health (Phoenix, AZ)
- …in a computerized scheduling system. Verifies and reviews physician privilege status prior to scheduling. Interfaces with medical staff office to maintain log of ... and maintain physician preference information and staff roster. 2. Acquires authorization numbers, History and Physicals, results of laboratory tests and verifies… more
- HonorHealth (AZ)
- …billing and collecting, research, correspondence, payment and adjustment posting, charge entry, prior authorization , and a host of other duties to assure ... timely reimbursement to the medical provider. Demonstrates independent problem-solving skills of account error necessary to bring the account balance to zero within established time frames. Essential Functions + Responsible for research and secure payment for… more
- Highmark Health (Phoenix, AZ)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- Adelante (Surprise, AZ)
- …will work with patients to close gaps in care, provide insurance, referral, and prior authorization support, and may also conduct patient outreach to follow up ... Advocate + Close gaps in care by assisting with prior authorization support and referrals + Perform...physical demands and work environment characteristics described here are representative of those that must be met by an… more
- RTX Corporation (Tucson, AZ)
- …Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens ... + Typically requires a University Degree or equivalent experience and minimum 5 years prior relevant experience, or an Advanced Degree in a related field and minimum… more
- General Motors (Phoenix, AZ)
- …THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE COMPANY (eg, ... with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado,...of record on a government form, and any work authorization requiring a written submission or other immigration support… more
- RTX Corporation (Tucson, AZ)
- …Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens ... You Must Have** + Typically requires a University Degree and minimum 2 years prior relevant experience, or an Advanced Degree in a related field. + Relevant… more
- Select Medical (Phoenix, AZ)
- …financially viable. + Communicate relevant data to clinical liaisons, case managers, prior authorization team, and physicians to help prepare for admission. ... signed consent to treat forms and file. **Qualifications** **Qualifications** + Prior experience in a hospital, physician practice or insurance environment. +… more
