Prior Authorization Representative I (Fully Remote)

University of Utah Health; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

University of Utah Health seeks a primarily remote role to secure outpatient accounts through insurance verification and prior authorization. You will work with physicians, nurses, and financial advocates to resolve authorization issues and ensure access to care.

Responsibilities include verifying eligibility and benefits, creating estimates, submitting ICD/CPT codes, securing prior authorizations, following up on denials, and maintaining documentation for the revenue cycle.

Qualifications

• Requires two years in a healthcare financial setting.
• Preferred: prior authorization, insurance, coding, and Epic experience.

Responsibilities

• Verify eligibility and benefits, create estimates, and submit ICD/CPT codes.
• Secure prior authorizations, follow up on denials, and maintain documentation.

Skills

Healthcare finance experience

Tools

Epic

Job description

• Primarily remote role securing outpatient accounts via insurance verification and prior authorization.
• Works with physicians, nurses, and financial advocates to resolve authorization issues.

Responsibilities

• Verify eligibility and benefits, create estimates, and submit ICD/CPT codes.
• Secure prior authorizations, follow up on denials, and maintain documentation.

Qualifications

• Requires two years in a healthcare financial setting.
• Preferred: prior authorization, insurance, coding, and Epic experience.

University of Utah Health

University of Utah Health is a patient-focused organization enhancing health through care, research, and education. It operates five hospitals and eleven clinics with a culture of collaboration, excellence, leadership, and respect.