Prior Authorization Specialist - Fast-Paced Medical Office

Foothills Neurology; Phoenix (AZ); On-site; USD 38,000 - 52,000; Full time

Job summary

Foothills Neurology is seeking a Prior Authorization Specialist to manage authorizations and referrals in a high-volume environment. You will ensure timely processing, review records, and communicate with providers, patients, and staff to maintain compliance.

Ideal candidates have 3+ years of relevant experience, strong organizational skills, and proficiency with Athena EMR. The role emphasizes accuracy, HIPAA compliance, and collaboration within the billing workflow.

Qualifications

• High School Diploma or GED required.
• Minimum 3 years of experience in prior authorizations, referrals, or a related medical office role.
• Knowledge of insurance processes and medical terminology required.
• Experience with Athena EMR is required.

Responsibilities

• Process prior authorizations for medications, referrals, and in-house procedures.
• Review and obtain referrals and authorizations for office visits.
• Manage the daily inbox and ensure documents are processed promptly.
• Review medical records to confirm insurance requirements are met.
• Submit requests to insurance companies and follow up until completion.
• Follow payer guidelines, HIPAA, and internal policies.
• Communicate approval/denial updates to providers, patients, and staff.
• Maintain organized records of all authorization activities.
• Perform basic quality checks on work completed by the team.
• Identify process gaps and communicate improvement opportunities.
• Collaborate with providers, clinical staff, and billing for accuracy and compliance.

Skills

Multitasking

Organization

Communication

Problem-solving

Discretion

Teamwork

Education

High School Diploma or GED

Tools

Athena

Job description

Foothills Neurology is seeking a Prior Authorization Specialist to manage authorizations and referrals in a high-volume environment. You will ensure timely processing, review records, and communicate with providers, patients, and staff to maintain compliance.

Ideal candidates have 3+ years of relevant experience, strong organizational skills, and proficiency with Athena EMR. The role emphasizes accuracy, HIPAA compliance, and collaboration within the billing workflow.