Coordinator, Prior Authorization

Job Summary The Division of Pediatric Clinical Enterprise at the University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible for obtaining prior authorization before services are rendered for requested procedures, testing, and medications. Responsibilities also include coordinating and scheduling certain procedures and tests. The coordinator works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. A high level of computer literacy for daily navigation through multiple electronic systems, troubleshooting, and completion of tasks is necessary. This position is team-based where excellent communication and collaboration are vital components for completing responsibilities efficiently and timely. Benefits Excellent health care coverage at affordable rates 14.2% retirement contributions Generous paid leave time 11 paid holidays per year 50% tuition reduction for employees, spouses, and dependent children Flex spending accounts University provided basic employee life insurance coverage equal to a salary of up to $25,000 Variety of elective insurance coverage, including life insurance, short- and long-term disability, accidental death & dismemberment, accident, critical illness, hospital indemnity, and pet Free transit on most UTA services Employee discounts on a variety of products and services, including cell phones & plans, entertainment, health and fitness, restaurants, retail, and travel Professional development opportunities Work Environment and Physical Requirements Nearly continuously: Office environment. Physical requirements include sitting, hearing, listening, talking. Often: repetitive hand motion (typing), walking. Seldom: bending, reaching overhead. Responsibilities Verifies insurance eligibility, benefits, and network status. Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request. Obtains pre-authorization and referrals from insurance companies for diagnostic testing, procedures, treatments, and medication ordered by healthcare providers. Follows up on delayed or denied authorization requests and escalates for resolution. Creates detailed documentation and maintains/stores the authorization paper trail. Coordinates schedules for surgery and surgical procedures, testing and other services as requested and in accordance with departmental policy and procedures. Works effectively with other team members to complete tasks efficiently and collaboratively. Participates in quality improvement projects by developing data collection tools, analyzing, compiling and reporting data, and providing input to the QI process. Minimum Qualifications Three years of experience working in an office or clinic, with an emphasis in scheduling or a related area, or equivalent (one year of education can be substituted for two years of related work experience). Must demonstrate effective communication, human relations, and computer skills. Some areas of assignment require completion of a medical terminology course, certification related to a specific area, and/or additional years of related experience. The position is patient-sensitive and must fulfill all associated requirements, including CDC immunization standards. Applicants must demonstrate the potential ability to perform the essential functions of the job. Preferences Previous experience with medical insurance, prior authorizations, and ICD/CPT coding experience preferred. Applicants will be screened according to preferences. #J-18808-Ljbffr