Remote Prior Authorization Specialist II

University of Utah; Salt Lake City (UT); On-site; USD 71,635,000 - 80,231,000; Full time

Job summary

University of Utah seeks a Prior Authorization Rep II for its University Medical Billing (UMB). This full-time, remote role works with physicians, nurses, and schedulers to verify insurance, obtain benefit information, estimate patient liability, and secure prior authorizations prior to services.

The position supports diverse specialties across Utah and neighboring states. Candidates should have at least three years in health-care finance, and six months in prior authorization.

Qualifications

• Three years of experience in a health care financial setting.
• Six months of experience as a Prior Authorization Rep I or equivalent.
• ICD/CPT Coding Certification.

Responsibilities

• Contact insurance for patient eligibility, benefits, network status, price estimates, and authorization.
• Update insurance information in patient registrations and follow up on denials.
• Escalate unresolved authorizations and coordinate reviews with providers.
• Submit accurate ICD/CPT codes and related records.
• Maintain authorization history documentation.
• Liaise between payer and clinic scheduling/medical staff.
• Perform other duties to support team.

Skills

Insurance verification

Benefit information

Patient estimates

Prior authorization

Collaboration with clinicians

Education

ICD/CPT Coding Certification

Job description

University of Utah seeks a Prior Authorization Rep II for its University Medical Billing (UMB). This full-time, remote role works with physicians, nurses, and schedulers to verify insurance, obtain benefit information, estimate patient liability, and secure prior authorizations prior to services.

The position supports diverse specialties across Utah and neighboring states. Candidates should have at least three years in health-care finance, and six months in prior authorization.