Prior Authorization Specialists $24-$28/hr Salt Lake City, UT

Job Description

Job Description

Are you a healthcare professional experienced Medical Assistant with prior authorization and biologic therapy experience looking for your next opportunity? Join one of our fastest-growing healthcare clients and become part of a team dedicated to helping patients access the treatments they need.

What We Offer

✅ Competitive pay: $24-$28/hour ✅ Monday-Friday schedule ✅ Business casual work environment ✅ Comprehensive training program ✅ Opportunity for hybrid/remote work after 6 months based on performance and business needs

Training

• Week 1: Classroom Training
• Week 2: Shadowing & Hands-On Learning

Schedule

Monday-Friday Approx. 8:00 AM-5:00 PM or 9:00 AM-5:00 PM (varies based on selected lunch schedule)

What You'll Do

• Process prior authorizations accurately and efficiently.
• Review step therapy requirements, payer policies, and medication preferences.
• Manage appeals and denials while following payer guidelines.
• Verify insurance benefits and determine in-network and out-of-network coverage.
• Evaluate medical and pharmacy benefits to determine treatment eligibility.
• Collaborate with providers, patients, clinical teams, and internal stakeholders.
• Investigate complex cases and resolve authorization challenges.
• Maintain accurate documentation in Salesforce and other systems.
• Prioritize workload to ensure timely follow-up and completion of authorizations.

Qualifications

• 2 years of medical insurance, prior authorization, or claims experience
• Direct experience with prior authorizations and biologic therapies
• Medical Assistant certification or formal training required
• Experience with Salesforce, WeInfuse, AMD, EMRs, and/or practice management systems
• Strong critical thinking, organization, and communication skills
• High School Diploma or equivalent

Preferred Experience

Experience in one or more specialty areas:

• Rheumatology
• Gastroenterology
• Dermatology
• Neurology
• Immunology

Ready to take the next step in your healthcare career? Apply today!