Prior Authorization Specialist - FT (40)

Mt.-Graham-Regional-Medical-Center; Safford (AZ); On-site; USD 26,000 - 35,000; Full time

Job summary

Mt.-Graham-Regional-Medical-Center is seeking a Prior Authorization Specialist in Safford, AZ. You will secure timely hospital and clinic authorizations, review insurance details, and coordinate with payers to ensure proper reimbursement.

The role requires strong interpersonal communication, attention to detail, and solid knowledge of insurance processes. This is a full-time, on-site position enabling effective team collaboration.

Qualifications

• High school diploma or equivalent; associate/bachelor preferred.
• Able to verify insurance coverage and eligibility.
• Excellent written and verbal communication.
• Detail oriented with strong organizational skills.
• Experience with insurance authorizations and payers.

Responsibilities

• Secure timely insurance authorizations for services.
• Review clinical and insurance information and communicate with payers.
• Document authorization approvals accurately in EHR and billing systems.
• Prevent authorization-related denials through thorough processing.
• Collect co-pays and deductibles.

Skills

Interpersonal skills

Organized

Attention to detail

Provider communication

Rapport building

Insurance verification

Education

High school diploma

Associate or Bachelor’s degree preferred

Tools

CPT codes

ICD-10 codes

HCPCS codes

Job description

• Location 1600 S 20TH AVE,Safford, AZ, 85546,United States
• Base Pay $19.00 - $25.17 / Hour
• Job Category Non-Clinical
• Employee Type Full-Time

Position Summary

The Prior Authorization Specialist is responsible for securing timely insurance authorizations for scheduled and unscheduled healthcare services to ensure reimbursement, regulatory compliance, and continuity of patient care. This role reviews clinical and insurance information communicates with payers and internal stakeholders, and documents authorization approvals accurately in the EHR and billing systems to prevent authorization-related denials.

Requirements

Required Qualifications

• Must be at least 18 years of age.
• Proof of highest level of education completed but not less than high school education or equivalent.
• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• The ability to build rapport with patients is essential
• Personable, optimistic resilient, and possess exceptional interpersonal communication skills
• Organized and detail oriented.
• Ability to take direction and correction if needed
• Must understand all Insurance Payors and Detailed Contracts
• Verify insurance coverage and eligibility.
• Review of procedure orders and documentation to determine necessity of prior auth.
• Strong communication skills with providers, team members and patients
• Detailed documentation of authorization numbers and process for each prior auth
• Collect co-pays and deductibles

Preferred Qualifications

• Experience in hospital or multi-specialty practice setting
• Knowledge of CPT, ICD-10, and HCPCS codes
• Familiarity with Medicare, Medicaid, and managed care plans
• Certification such as CPAR, CPC, or CRCR (preferred but not required)