Prior Authorization Specialist I – Hybrid

Arizona Priority Care; Chandler (AZ); Hybrid; USD 27,552 - 31,684; Full time

Job summary

Arizona Priority Care is seeking a Prior Authorization Representative I based in Chandler, Arizona. This role focuses on processing prior authorization requests for health plans, ensuring compliance and accuracy. You will work closely with physicians and internal customers, providing exceptional service while maintaining stringent accuracy levels in data entry.

Candidates must have a high school diploma and at least one year of administrative healthcare experience. Knowledge of medical terminology and proficiency in Microsoft Office are essential.

Qualifications

• 1-year administrative healthcare related experience required.
• Knowledge of CPT-4, HCPCS, and ICD-10 is essential.
• Ability to interact effectively with all levels of staff.

Responsibilities

• Process prior authorization requests accurately and timely.
• Manage incoming authorization requests per health plan requirements.
• Provide exceptional customer service over the phone.

Skills

Proficient knowledge of medical terminology

Excellent communication skills

Detail-oriented

Ability to multi-task effectively

Education

Highschool Diploma or GED

Tools

Microsoft Office applications

Job description

Arizona Priority Care is seeking a Prior Authorization Representative I based in Chandler, Arizona. This role focuses on processing prior authorization requests for health plans, ensuring compliance and accuracy. You will work closely with physicians and internal customers, providing exceptional service while maintaining stringent accuracy levels in data entry.

Candidates must have a high school diploma and at least one year of administrative healthcare experience. Knowledge of medical terminology and proficiency in Microsoft Office are essential.