Prior Authorization Specialist: Streamline Payer Approvals

Mt.-Graham-Regional-Medical-Center; Safford (AZ); Presencial; USD 26.000 - 35.000; Jornada completa

Descripción de la vacante

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.

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Interpersonal skills

Organized

Attention to detail

Provider communication

Rapport building

Insurance verification

Educación

High school diploma

Associate or Bachelor’s degree preferred

Herramientas

CPT codes

ICD-10 codes

HCPCS codes

Descripción del empleo

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.