Arizona Licensed Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist (RN or LPN) for a part-time remote position working weekends.

Key Responsibilities

• Manage pre-certification and prior authorization of patient referrals for admission
• Ensure compliance with documentation standards and mentor team members as needed
• Develop and maintain relationships with payers to enhance referral generation and minimize financial risk

Required Qualifications

• Licensure as a Registered Nurse or LVN/LPN is required
• 2 years of direct experience in third-party reimbursement is required
• Previous experience within a physical rehabilitation setting is preferred
• Experience working with Excel and databases is preferred