Top 60 Prior authorization specialist Jobs in Mesa, Az

Referral Specialist Neurology
Banner Health —Mesa, AZ
- $19.06 - $28.60 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
6h
Prior Authorization Specialist
Thrive Autism Services —Phoenix, AZ
- $24 - $26 an hour
- Hybrid work
- HIPAA
- Mid-level
- Office
Quick Apply
14d
Prior Authorization Specialist
Foothills Neurology P C —Phoenix, AZ
- $20 - $25 an hour
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
Botox Prior Authorization Specialist
Foothills Neurology P C —Phoenix, AZ
- Medical office experience
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Prior Authorization Specialist
Pure Infusion —Phoenix, AZ
- $24 - $28 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Neurology
Quick Apply
2d
Patient Access Lead
Optum —Chandler, AZ
- $20 - $36 an hour
- Full-time
- 18 years or older
- Basic math
- Pass drug screening
- AD&D insurance
- Employee stock purchase plan
1d
Intake Specialist (In-Office if Local / Remote if Non-Local)
UNITED WOUND HEALING PS —Phoenix, AZ
- $19 - $23 an hour
- Overtime
- Microsoft Outlook
- Pass drug screening
- HIPAA
- AD&D insurance
- Paid holidays
Quick Apply
Patient Access Specialist - Specialty Pharmacy
AssistRx —Phoenix, AZ
- $40,000 - $50,000 a year
- Full-time
- Background check
- Mid-level
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
Referral Specialist
TriWest Healthcare Alliance —Phoenix, AZ
- $40,000 - $45,000 a year
- Overtime
- Microsoft Outlook
- Computer literacy
- HIPAA
- AD&D insurance
- Disability insurance
Customer Service Representative
QUIPT HOME MEDICAL INC —Mesa, AZ
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Patient Services Specialist
Bookmark Medical —Tempe, AZ
- Full-time
- Administrative experience
- Communication skills
- Entry level
- Health savings account
- Health insurance
Quick Apply
Referral Specialist OBGYN
Banner Health —Chandler, AZ
- Full-time
- HIPAA
- High school diploma or GED
- Clinic
10h
Authorizations Specialist
Arizona Pain Doctors —Phoenix, AZ
- Full-time
- High school diploma or GED
- Computer skills
- Medical terminology
Quick Apply
Eligibility Specialist -Multiple Locations
Terros Health —Phoenix, AZ
- Full-time
- Bilingual
- Microsoft Word
- Microsoft Excel
- Wellness program
- Disability insurance
Patient Access Representative
Women's Care —Mesa, AZ
- Full-time
- Computer literacy
- HIPAA
- High school diploma or GED
- Paid holidays
- 401(k)
Quick Apply
Patient Access Specialist (FT, Days)
Connections Health Solutions —Phoenix, AZ
- Full-time
- Spanish
- CPR Certification
- BLS Certification
- Paid parental leave
- Health savings account
Quick Apply
Medical Biller Specialist
North Star Sleep Solutions —Mesa, AZ
- $20 - $25 an hour
- Part-time
- Medical office experience
- Mid-level
- Organizational skills
- Flexible schedule
Quick Apply
23h
Billing Specialist
Rite of Passage, Inc. —Queen Creek, AZ
- $25 an hour
- High school
- HIPAA
- Mid-level
Quick Apply
Billing Specialist – Revenue Cycle Manager
The Recovery Syndicate —Chandler, AZ
- $60,000 - $80,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
12d
Patient Care Specialist
Phusion Wellness —Mesa, AZ
- $17 - $20 an hour
- Urgently hiring
- Computer literacy
- Clinic
- Communication skills
- Paid holidays
- Paid time off
Quick Apply

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Referral Specialist Neurology

Banner Health -
Mesa, AZ

Apply Now

Job Details

Full-time
$19.06 - $28.60 an hour
6 hours ago

Qualifications

Customer communication
HIPAA
Desktop applications
Productivity software
Customer service problem-solving

Full Job Description

Primary City/State:

Mesa, Arizona

Department Name:

C/P-BDMC Neuro-Clinic

Work Shift:

Day

Job Category:

Administrative Services

Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care – and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you.

Our Health Clinic is a very busy fast paced working environment where over a couple hundred patients visit us each day. We are looking for someone not only focused on patients as the number one goal but also a team player.

Main Responsibilities: This role is responsible for managing incoming referrals for Neurology, Neurosurgical, and Neuroendovascular services across our Desert and Baywood locations. Ensure all referral requirements are met prior to appointment. Collect and organize medical records. Occasional travel between offices for training or coverage

Desert location: 3 Neurologists, 2 Neuroendovascular surgeons
Baywood location: 2 Neurologists

Location:

Banner Health Neurology Clinic

1520 S. Dobson Rd. Suite #206

Mesa, Az. 85202

Possibility to float to our Baywood Location: 6553 E. Baywood Avenue, Suite 212 Mesa, Az 85206

Hours: Monday through Friday 8am-4:30pm

At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care.

POSITION SUMMARY
This position is responsible for coordinating referral orders for a continuation of treatment, such as specialty services and diagnostic testing within a primary care practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for tracking and managing all referrals with the intention and outcome to close any patient care gaps, along with providing documentation to promote team awareness.

CORE FUNCTIONS
1. Schedules appointments for specialty physician services and diagnostic testing per provider request and communicates with the patient on a timely basis for all scheduling requirements

2. Acts as a liaison between patients, providers and staff members for patients’ referral and follow up needs. Provides prompt and professional service for the patients by assisting in educating patient/family and assisting patients with external resources when needed.

3. Provides all pertinent clinical information needed for the payor authorization, the facility or specialist prior to the services being rendered by verifying coverage, obtaining authorization and communicating with receiving facilities

4. Tracks and manages all referrals by monitoring outstanding referrals at 30/60/90 day intervals and following up with patients if appointments are not kept

5. Applies knowledge of medical terminology and maintains up to date knowledge of insurance environment. Utilizes internal and external resources to seek knowledge about regulations regarding various payor sources

6. Collaborates with outside referral sources and other community resources. Maintains an updated list of community resources and networks with colleagues to develop additional referral sources

7. This position has frequent communications with patients, physicians, staff, and third party payers. The position must work with and understand the concepts of managed health care and be able to prioritize tasks within established guidelines with moderate supervision

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Possesses 1 year of direct patient interaction/experience in a medical, insurance, or healthcare related industry.

Knowledge of HIPAA regulations. Strong customer service focus and willingness to problem solve. Effective verbal and written communication skills and the ability to manage competing priorities. Must be proficient with commonly used office software.

PREFERRED QUALIFICATIONS

Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9 and CPT codes.

Additional related education and/or experience preferred.

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Apply Now

Refine Your Search

prior authorization specialist jobs in mesa, az

Referral Specialist Neurology

Prior Authorization Specialist

Prior Authorization Specialist

Botox Prior Authorization Specialist

Prior Authorization Specialist

Patient Access Lead

Intake Specialist (In-Office if Local / Remote if Non-Local)

Patient Access Specialist - Specialty Pharmacy

Referral Specialist

Customer Service Representative

Patient Services Specialist

Referral Specialist OBGYN

Authorizations Specialist

Eligibility Specialist -Multiple Locations

Patient Access Representative

Patient Access Specialist (FT, Days)

Medical Biller Specialist

Billing Specialist

Billing Specialist – Revenue Cycle Manager

Patient Care Specialist

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