Pre Service Prior Authorization Representative

Banner Health

. Obtain and complete insurance authorization requests .

Posted 9/21/2026full-timeRemote • Arizona • United StatesMid-LevelSenior💰 $20 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in insurance authorization processes, including verification of benefits and documentation to maximize reimbursement. Proficient in managing multiple tasks independently while maintaining high accuracy and productivity in a remote work environment.

Highest-signal resume keywords

Insurance AuthorizationICD-10 KnowledgeHealthcare Insurance ExperienceDetail-OrientedProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance VerificationAuthorization RequestsDocumentation ManagementData EntryPayer Requirements Knowledge

Soft Skills

Organizational SkillsCommunication SkillsHuman Relations Skills

Tools & Technologies

Submission ToolsDatabase SoftwareWord Processing SoftwareSpreadsheet SoftwareOffice Software

Certifications & Qualifications

CRCR CertificationCHAA Certification

Industry Keywords

HealthcareInsurance PayersReferral ProcessesPeer ReviewAuthorization Standards

About the role

Key responsibilities & impact

Obtain and complete insurance authorization requests
Verify insurance benefits and authorization requirements
Verify patient insurance and accurately input information into systems
Thoroughly document accounts to maximize reimbursement and minimize denials or penalties
Meet monthly individual accuracy and productivity goals
Complete authorization initiation requests with payers for all service lines
Validate existing provider-requested authorizations
Complete authorizations for acute and ambulatory visits using submission tools and websites
Provide authorization numbers and patient demographic information to staff, including billing
Explain referral processes to physicians and staff
Maintain records of referral activity and authorizations
Refer encounters for peer review when needed
Respond to provider orders for tests, procedures, and specialty visits
Obtain authorizations for single and recurring visits, including verification of demographics, codes, service dates, and clinical data
Stay current on payer requirements and third-party authorization submission software
Work independently from a remote location and prioritize work to ensure timely patient care
Follow escalation protocols for accounts not meeting authorization standards
Perform cross-coverage and other related authorization duties as assigned

Requirements

What you’ll need

High school diploma/GED required
Minimum of three years of experience in healthcare insurance and/or authorizations
Business skills and experience in the assigned work area
Knowledge of insurance payers
Knowledge of ICD-10
Problem-solving skills
Computer experience and ability to work across multiple systems
Advanced abilities with common office, word processing, spreadsheet, and database software
Ability to manage multiple tasks simultaneously with minimal supervision and work independently
Detail-oriented with high productivity and accuracy
Excellent organizational, human relations, and communication skills
Associate’s degree in Business Management preferred
CRCR and/or CHAA certification preferred

Benefits

Comp & perks

Opportunities for further education
Career growth and mentorship
Work-from-home benefit
Great Place To Work® certified employer