Prior Authorization Expert

Toportho; Salt Lake City (UT); On-site; USD 40,000 - 55,000; Full time

Job summary

A healthcare service provider in Salt Lake City is seeking an Insurance Authorization Specialist to secure approval from insurance companies for medical services. This role involves verifying patient eligibility, submitting documentation, and resolving denials. Key requirements include a high school diploma, proficiency in medical terminology, and experience in prior authorization processes. The ideal candidate will have strong communication skills and the ability to manage high-volume tasks. A focus on Physical Therapy is beneficial but not required.

Qualifications

• Previous experience in healthcare, specifically in insurance verification, or prior authorization.
• Knowledge of insurance coding (ICD-10, CPT) is essential.

Responsibilities

• Initiate, review, and track prior authorization requests.
• Confirm patient insurance eligibility and benefits.
• Review clinical records for accuracy.
• Act as a liaison between providers, patients, and insurance carriers.
• Maintain detailed logs in electronic medical records.

Skills

Medical terminology

EHR proficiency

Strong communication

Attention to detail

Multitasking

Education

High school diploma or GED

Associate degree or medical billing/coding certification

Tools

MS Office

EHR systems

Job description

A healthcare service provider in Salt Lake City is seeking an Insurance Authorization Specialist to secure approval from insurance companies for medical services. This role involves verifying patient eligibility, submitting documentation, and resolving denials. Key requirements include a high school diploma, proficiency in medical terminology, and experience in prior authorization processes. The ideal candidate will have strong communication skills and the ability to manage high-volume tasks. A focus on Physical Therapy is beneficial but not required.