RMA Certified Medical Assistant Full Job Description Location:

Sun City West, AZ About the

Role:

We are a growing cardiovascular clinic seeking a highly skilled, elite Prior Authorization Specialist dedicated exclusively to securing approvals for Radiofrequency Ablation (RFA) procedures. This role is built for a master of payer policies who takes pride in maintaining a near-zero denial rate. If you are an expert at navigating complex clinical guidelines and refuse to let paperwork delay patient care, you will thrive in our high-performance environment.

What You Will Do:

Command the

RFA Pipeline:

Own the end-to-end authorization process solely for RFA procedures, moving cases from medical necessity review to final approval with urgency and precision.

Analyze Clinical Data:

Deconstruct ultrasound reports, reflux times, conservative therapy logs, and clinical notes to build bulletproof authorization packets.

Outmaneuver Payer Hurdles:

Utilize your deep knowledge of LCDs (Local Coverage Determinations) and commercial payer policies to anticipate and neutralize obstacles before they cause delays.

Lead Appeals & Escalations:

Strategically craft and submit high-level appeals, peer-to-peer packets, and clinical arguments to overturn unjust denials.

Collaborate Professionally:

Act as the clinic's elite liaison between care teams, providers, and major insurance payers (including Medicare and AHCCCS).

What We Are Looking For:

Vascular Expertise:

3+ years of dedicated medical prior authorization experience, with a heavy emphasis on vein, vascular, or interventional radiology procedures.

RFA Mastery:

Proven deep familiarity with RFA-specific CPT codes (e.g., 36475, 36476) and strict payer criteria for venous insufficiency.

Policy Fluency:

Exceptional ability to read, interpret, and apply complex insurance medical policies and LCD guidelines.

Tech-Savvy Auditor:

High proficiency in navigating electronic medical records (EMR) and various insurance portals efficiently. Qualifications Healthcare | Medical Experience required Registered Medical Assistant (RMA) or Certified Medical Assistant (CMA) required for this position Cardiology experience preferred (familiarity with cardiac testing, procedural coordination, or cardiovascular studies is a plus) Spanish-speaking is a plus but not required Strong organizational and communication skills required

Work Location and Schedule:

Primary Clinic:

Sun City West, AZ (with occasional coverage/travel to Sun City; mileage reimbursed)

Hours:

Full-time, Monday through Friday, 8:00 AM to 5:00 PM (No weekends, holidays, or after-hours required)

Compensation and Benefits Package Salary:

$24.00 per hour DOE Benefits include: Paid time off and sick leave, Birthday Floating Day, Anniversary Floating Day incentives, opportunities for professional development and training, a supportive and inclusive work environment, mileage reimbursement for travel between clinic locations

Interview Process and Hiring Timeline Interviews:

1st screening phone interview followed by 2nd in-person interview

Hiring Timeline:

Looking to hire within 1-2 weeks

Pay:

From $24.00 per hour

Benefits:

Paid time off Application Question(s): How many years of prior authorization experience do you have specifically for vein, vascular, or interventional radiology procedures? Do you have prior authorization experience with Radiofrequency Ablation (RFA) procedures? Are you familiar with Local Coverage Determinations (LCDs) and how they apply to venous insufficiency treatments? Do you have experience navigating payer portals and EMR systems for vein/RFA cases?

Work Location:

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