Hybrid/Remote PA Specialist (Temp-to-Hire)

RemX | The Workforce Experts; Sandy (UT); Hybrid; USD 33,000 - 39,000; Full time

Benefits offered by this job

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Job summary

RemX | The Workforce Experts seeks a Prior Authorization Specialist in Salt Lake City. Hybrid role after 6 months, 9am-5pm, temp-to-hire with pay $24-$28/hour depending on experience.

You will manage 30+ active authorizations, review step therapy, appeals, and verify benefits while collaborating with providers, clinical teams, PACs, and sales reps. Training is two weeks onsite, first week classroom, second week shadowing; dress code is business casual.

Qualifications

• Minimum 2-3 years of experience as a Medical Assistant (MA) with direct prior authorization.
• Knowledge of commercial and Medicare Advantage policies, including LCDs.
• High School diploma or equivalent.
• Proficiency with EMRs, PMS and prior authorization systems.
• Strong experience with Salesforce, WeInfuse, and AMD.
• Excellent communication and customer service skills.
• Highly organized and multitasking skills.

Responsibilities

• Processes prior authorizations accurately and efficiently, reviewing step therapy and payer requirements.
• Manages appeals and denials, escalating when necessary per payer protocols.
• Analyzes insurance policies and communicates with internal teams/providers for documentation.
• Verifies benefits and in-/out-of-network status across multiple payers; determines eligibility.
• Maintains clear, professional communication with providers, patients, internal teams.
• Documents all case-related conversations in Salesforce within required timeframes.
• Collaborates with team to gather/clarify case information; investigates complex cases.

Job description

RemX | The Workforce Experts seeks a Prior Authorization Specialist in Salt Lake City. Hybrid role after 6 months, 9am-5pm, temp-to-hire with pay $24-$28/hour depending on experience.

You will manage 30+ active authorizations, review step therapy, appeals, and verify benefits while collaborating with providers, clinical teams, PACs, and sales reps. Training is two weeks onsite, first week classroom, second week shadowing; dress code is business casual.