Average salary: $43,553 /yearly
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$20.31 - $30.12 per hour
A healthcare provider is seeking a dedicated individual to handle inbound phone inquiries related to utilization management. This role requires expertise in customer service and a minimum of 3 years of experience, including 1 year in healthcare. Responsibilities include...SuggestedHourly payWork at office- ...healthcare service provider in Salt Lake City is seeking an Insurance Authorization Specialist to secure approval from insurance companies for... ..., proficiency in medical terminology, and experience in prior authorization processes. The ideal candidate will have strong...Suggested
- A reputable educational institution is seeking a Scheduling and Prior Authorization Coordinator to verify insurance eligibility and coordinate scheduling for procedures. Candidates should have at least three years of experience in an office or clinic environment, effective...SuggestedWork at officeMonday to Friday
$26.41 - $61.79 per hour
...Identify appropriate benefits, eligibility, and the expected duration of treatments and/or procedures. Conduct reviews to determine prior authorization and financial responsibilities for both Molina and its members. Process requests within specified timelines. Refer cases to...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Utah23 hours ago$26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Layton, UT2 days ago$26.41 - $61.79 per hour
...appropriate benefits, eligibility, and expected length of stay for requested treatments or procedures. Conduct reviews to ascertain prior authorization and financial responsibilities for Molina and its members. Process requests promptly, adhering to required timelines....SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Ogden, UT5 days ago$23 per hour
...eligibility and update patient profiles accordingly Collaborate with the facility’s business office on insurance verification and prior authorization requests Respond to intake inquiries via email and phone, while managing timely data entry of patient medical history What...SuggestedRemote jobHourly payFull timeWork at officeLocal areaImmediate start$26.41 - $61.79 per hour
...eligibility, benefits, and expected length of stay for requested treatments and procedures. Conduct thorough reviews to determine prior authorization and financial responsibilities. Process requests promptly within the required timelines. Refer complex cases to medical...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Layton, UT5 days ago$40k - $70k
...payments and reconcile accounts Follow up on denied or rejected claims Verify insurance benefits and eligibility Obtain prior authorizations when required Communicate with insurance companies and resolve claim issues Maintain HIPAA compliance and confidentiality...SuggestedRemote jobFull timePart timeFlexible hours$215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...SuggestedWork at office- A leading academic institution seeks a Scheduling and Prior Authorization Coordinator in Salt Lake City. The role involves verifying insurance eligibility, obtaining pre-authorizations for procedures, and coordinating schedules. Candidates should have three years of experience...SuggestedFull timeWork at office
$75.1k - $96k
...and pleasantly. Active listening skills. Adapt to a quickly changing environment. Working knowledge in pharmacy billing, prior Authorization, appeals, and peer-to-peer review. Preferred Bilingual/Spanish Speaking is a plus. Pharmacy Technician. HCP Office Management...SuggestedTemporary workWork at office- ...healthcare organization is seeking a physician to support the Prior Auth program focused on Medicare Advantage members. The role includes... ...improving quality through evidence-based medicine, prior authorization, and utilization management. Candidates must have an MD or DO...SuggestedRemote job
$20.31 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...SuggestedFor contractorsWork at officeLocal areaHighmark Health
Salt Lake City, UT5 days ago- ...and referrals (paper and electronic) to ensure patients are scheduled in the correct clinics Collect co-pays and assist with prior authorizations for procedures Deliver excellent customer service to patients and families, both in person and over the phone Apply newly...SuggestedWork experience placementWork at officeFlexible hours
- ...to provide patient care including telephone triage, insurance authorizations, recording of vital signs (blood pressure, temperature, etc.),... ...demographic information necessary to contact patients and do prior authorization for medications and procedures. Prepare patients...Full timeTemporary workWork experience placementWork at officeLocal areaImmediate startFlexible hours
Granger Medical
Draper, UT1 day ago $89k - $121.4k
...Design and develop Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer (ADT) data, HEDIS data, etc. Ensure data integrity in program administration...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours$34.53 - $52.25 per hour
...administration in future fellowship matters, coordination of care between specialties (care navigation), caring for patients in clinic, prior authorizations, maintaining databases of genetic and high risk cancer screening, maintaining databases of biliary stent follow up, there...Hourly payFull timeWeekend workIntermountain Health
Provo, UT23 hours ago$20 - $25 per hour
...Essential Responsibilities Manage scheduling for study-specific appointments, radiology procedures, and travel arrangements. Ensure prior authorizations are completed. Handle administrative tasks, including follow-ups, referrals, no-shows, and rescheduling. Maintain accurate...Hourly payLocal areaRemote workWorldwideMonday to FridayFlexible hoursSTART Center for Cancer Research
West Valley, UT22 hours ago$31.48 - $39.87 per hour
...physical evaluations (vitals, BMI, appearance, mood, etc.). Support clients with medication programs, pill box prep, and prior authorizations. Coordinate care with clients, guardians, prescribers, and insurance when needed. Provide educational groups promoting...Full timeTemporary workWork at officeLocal areaMonday to FridayFlexible hoursWasatch Behavioral Health
Spanish Fork, UT1 day ago- ...Fortune 4 industry leader. This position will support the growing Prior Auth program which covers the New Mexico, Utah, Nevada, and Arizona Markets. The scope of this role will include Prior Authorization for Medicare Advantage members focusing on high value procedures...Remote job
- ...brands. They will engage healthcare providers, and their staff to communicate and educate on patient pharmacy benefit coverage, prior authorization processes, general payer policy criteria and affordability programs supporting the initiation of the products. They will have...Work at officeLocal area
- ...problem resolution. Accept customer and prescription information required to process refill prescriptions, including refill authorization and prior authorizations from doctor offices where permitted by state law and Health West protocol. Perform all functions and...Full timeLocal areaFlexible hours
HealthWest
Laketown, UT2 days ago $19 per hour
...skill level Responsibilities: Telephone triage and insurance authorizations Recording vital signs (BP, temperature, etc.)... ...demographic information necessary to contact patients and do prior authorization for medications and procedures. Prepare patients...Full timeTemporary workWork at officeLocal areaImmediate startFlexible hoursGranger Medical
Herriman, UT15 days ago$20 per hour
...patients about medication, treatment plan, and other instructions Transmitting prescription refills as directed Insurance prior authorizations Opportunity to advance your skills - Learn innovative & exciting new therapeutic modalities such as TMS and Ketamine...Hourly payFull timePart timeWork experience placementMonday to FridayDay shiftStella Mental Health
Layton, UT2 days ago- ...Behavioral Health - FT (Phlebotomy) OB/GYN - FT (CNA) Receive phone calls and respond to patient concerns. Obtain prior authorizations for prescriptions and procedures. Schedule follow-up appointments for physician. Assist with other office duties as...Full timePart timeReliefWork at officeImmediate start
Tanner Clinic
Layton, UT2 days ago - Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
EXL
Salt Lake City, UT2 days ago - Compensation & Benefits Great Pay - opportunity to participate in AAA discretionary annual incentive plan or other incentive plans depending upon position 401k Matching - $1 for $1 company match up to 6% of eligible earnings per pay period Benefits - Medical, Dental, ...Work at office
$62k - $85.1k
...Operations Coordinator is responsible for coordinating operational and cross‑functional teams to deliver initiatives that optimize prior authorization (PA) operations through enhanced efficiency, regulatory compliance, training, and quality improvements, all in service of...Immediate startRemote workWork from homeFlexible hours$202k - $303k
...multidisciplinary stroke teams, including neurology, cardiology, pharmacy, and care coordinators Understanding of formulary management and prior authorization for chronic secondary prevention therapies Familiarity with population health, adherence challenges, and real-world evidence...Local areaFlexible hours
