Authorization Specialist

Job Title

Insurance Authorization Specialist

Responsibilities

Verifies patient insurance coverage timely utilizing phone or online resources.

Submit prior authorizations to insurances in timely manner via payer specific portals and vendors.

Ensures all pertinent medical documentation is accurate and present prior to authorization submission.

Follows up with pending authorizations on a regular basis to obtain the current status or to be informed of any action needed in order to obtain the authorization approval.

Communicates any authorization denials to the appropriate staff.

Handles any discrepancies, errors, or omissions of authorization denials and files appeals when necessary for overturn of adverse decision.

Participates in educational activities and attends regular staff and department meetings.

Exhibit and manage excellent turn-around time in order to ensure timely authorizations.

Consistently work in a positive and cooperative manner with fellow team members and management.

Demonstrate flexibility to perform duties wherever volume deems it necessary.

Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner.

Document activities appropriately in process notes.

Participates in the Quality Assurance plan.

Complies with applicable CLIA and HIPAA regulations.

Stay up to date with SOPS

Complies with all company and department policies and procedures

Contributes to a positive work and team culture

Qualifications

High school diploma or GED equivalent required

3-5 years of experience working in medical billing, health insurance or collections with demonstrated results.

Insurance billing experience is preferred.

Good problem solving and decision-making skills.

Excellent customer service and phone skills.

Excellent time management, organizational, communication, multitasking and teamwork skills.

Working knowledge of ICD-10, CPT and HCPCS coding (preferred but no required).

Ability to successfully navigate between multiple systems throughout the course of the workday this includes but is not limited to billing software, written Standard Operating Procedures and payer portals.

Preferred authorization experience

Physical & Lifting Requirements

Lifting Requirements – light work or exerting up to 20 pounds of force frequently.

Physical Requirements – stationary positioning, moving, operating, ascending/descending, communicating and observing.

Use of equipment and tools necessary to perform essential job functions.

About Us

Ready to transform the future of patient care through the power of genetics?

For more than 30 years, Myriad Genetics has led the way in precision medicine by delivering important insights to help people make informed health decisions. As a leading molecular diagnostic testing and precision medicine company, we are dedicated to advancing health and well-being for all. Our innovative genetic tests are used across specialties including oncology, women's health, and mental health, empowering clinicians to personalize treatment and help their patients take proactive steps toward better outcomes.

What inspires us – and you – is simple: Every test, every insight, and every patient story emphasizes our commitment to improving lives through science, innovation, and care. you're ready to help shape the future of medicine. Your work will have meaningful impact, and your dedication can change lives. Learn more at

Job Info

Job Identification 6221

Job Category Reimbursement

Degree Level High School

Job Schedule Full time

Locations 322 N 2200 W, Salt Lake City, UT, 84116, US (Remote)

Hourly Salary Hourly

Minimum Salary 42,500.00

Midpoint Salary 48,900.00

Wage Disclaimer In accordance with various state and municipal wage transparency laws, the anticipated wage/salary range for this position is above. The actual base pay for this role will be based on several factors, including geographic location, relevant work experience, education, skills, and applicable achievements. Compensation may vary outside of this range in rare cases where candidates have uniquely relevant skillsets and experience that will bring additional value to the role and to Myriad. To drive ongoing pay equity for employees, Myriad conducts regular internal reviews across categories of ethnicity and gender.

Remote Job YES

Replaced Person Number 35419

Priority Critical