Prior Authorization Specialist - Healthcare

Uintah Basin Medical Center; Roosevelt (UT); On-site; USD 35,000 - 48,000; Full time

Job summary

Uintah Basin Medical Center in Roosevelt, UT is seeking an on-site Prior Authorization Clerk. The role focuses on obtaining payer authorizations, collecting patient demographics and insurance details, and ensuring accurate EMR records for services rendered.

Compliance with HIPAA and organizational policies is essential. The successful candidate will verify insurance, coordinate with payers, and assist with referrals to financial counseling when needed, while maintaining professional

Qualifications

• Verifies patient insurance and benefits information.
• Obtains prior authorizations from third-party payers according to requirements.
• Collects demographic and insurance information from patients as needed.
• Maintains accurate authorization records in the EMR.
• Complies with HIPAA and organizational privacy policies.

Responsibilities

• Verify patient insurance and benefits details.
• Obtain prior authorizations from payers per requirements.
• Collect demographic and insurance information from patients.
• Update EMR with required data and authorizations.
• Collaborate with departments to gather clinical information for payer authorization.
• Post payments and support financial counseling when needed.
• Maintain accurate records of authorizations in the EMR.

Skills

Prior authorizations

EMR data entry

HIPAA compliance

Customer service

Multitasking

Tools

EMR/EHR

Job description

Uintah Basin Medical Center in Roosevelt, UT is seeking an on-site Prior Authorization Clerk. The role focuses on obtaining payer authorizations, collecting patient demographics and insurance details, and ensuring accurate EMR records for services rendered.

Compliance with HIPAA and organizational policies is essential. The successful candidate will verify insurance, coordinate with payers, and assist with referrals to financial counseling when needed, while maintaining professional