Prior Authorization Pro: Fast, Accurate Payer Approvals

Mt. Graham Regional Medical Center; Arizona; On-site; USD 42,000 - 66,000; Full time

Job summary

Mt. Graham Regional Medical Center is seeking a Prior Authorization Specialist to secure timely insurance authorizations for scheduled and unscheduled services, ensuring reimbursement and compliance.

You will review clinical and insurance information, communicate with payers and internal staff, and document approvals accurately in the EHR and billing systems to prevent denials. The ideal candidate has strong interpersonal skills, attention to detail, and experience with CPT/ICD codes and payer

Qualifications

• Excellent written communication skills
• Ability to build rapport with patients
• Detailed documentation of authorization numbers and process

Responsibilities

• Secure timely insurance authorizations for scheduled and unscheduled services.
• Communicate with payers, providers and internal stakeholders.
• Document authorization approvals accurately in EHR and billing systems.
• Verify insurance coverage and eligibility for prior authorizations.

Skills

Interpersonal communication

Organization

Attention to detail

Customer service

Education

High school diploma or equivalent

Associate or bachelor’s degree preferred

Job description

Mt. Graham Regional Medical Center is seeking a Prior Authorization Specialist to secure timely insurance authorizations for scheduled and unscheduled services, ensuring reimbursement and compliance.

You will review clinical and insurance information, communicate with payers and internal staff, and document approvals accurately in the EHR and billing systems to prevent denials. The ideal candidate has strong interpersonal skills, attention to detail, and experience with CPT/ICD codes and payer