Average salary: $43,553 /yearly
More statsGet new jobs by email
- ...and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare... ...and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for...SuggestedFull timeWork experience placementRemote workWorldwide
University of Miami
Ogden, UT4 days ago - ...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedWork at office
Molina Healthcare
Salt Lake City, UT1 day ago - ...Pharmacist Advisor Location: Fully remote Duration: 06+ months contract Note: Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. Shift Timing: Business Hours are 7am - 8pm EST Monday - Friday and...SuggestedContract workRemote workMonday to FridayShift work
US Tech Solutions
Salt Lake City, UT8 hours ago - ...Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...Suggested
Hire Talent
Ogden, UT8 hours ago - ...to patient questions. • Prepare exam rooms with necessary equipment/supplies and keep exam rooms clean. • Obtain insurance prior authorizations for procedures. Qualifications: • Previous medical experience preferred. • Current CPR certification or obtain within 3 months...SuggestedPart timeWork at office
Reverhealth
Provo, UT3 days ago - ...treatments as needed. Immunizations and well child visits Schedule appointments, tests, and follow-up procedures. Obtain prior authorizations when necessary and make timely call backs to patients. Manage phone calls, messages, and patient inquiries with excellent...SuggestedFull time
Arc Recruiting Collective
Layton, UT13 days ago $16 - $20 per hour
...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...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startFlexible hoursGranger Medical
Draper, UT11 days ago$16 - $21 per hour
...level Responsibilities: Telephone triage and insurance authorizations Recording vital signs (BP, temperature, etc.) Administering... ...demographic information necessary to contact patients and do prior authorization for medications and procedures. Prepare patients...SuggestedTemporary workWork at officeLocal areaImmediate startFlexible hoursGranger Medical
Herriman, UT14 days ago$16 - $22 per hour
...Medical Assistant. Duties will vary and include the following: medical transcribing/chart documentation, patient flow, insurance prior authorizations, phone triage, appointment scheduling and more. The ideal candidate will possess strong organizational skills, excellent...SuggestedFull timeTemporary workWork at officeLocal areaImmediate startMonday to FridayFlexible hoursGranger Medical
West Valley, UT14 days ago- ...Psychiatry- FT (CNA) Behavioral Health - FT (Phlebotomy) 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...SuggestedFull timePart timeReliefWork at officeImmediate start
Tanner Clinic
Layton, UT1 day ago $65k
...leads, referrals, others and excel at closing business. We provide all the tools needed to be successful. Ideally you will have had prior earnings of $65,000+ a year. GEICO is the #1 auto insurance company in the state of Utah. With one of the highest close ratios in...SuggestedFull timePart timeWork at officeLocal areaMonday to FridayVca Insurance Llc
Salt Lake City, UT7 days ago$18 - $20 per hour
...pediatric patients and their families. Responsibilities include: Telephone triage and parent communication Insurance authorizations and prior approvals Recording vital signs (blood pressure, temperature, height, weight, etc.) Administering immunizations...SuggestedTemporary workWork at officeLocal areaImmediate startMonday to FridayFlexible hoursGranger Medical
Herriman, UT14 days ago- ...building and maintaining decision tools, also known as questionnaires. These tools support pharmacy operations, specifically around prior authorization processes. We develop and manage configurable questionnaires that align with health plan and drug policies which help the...SuggestedWork experience placementWork at officeRemote workMonday to FridayFlexible hours
Spectraforce Technologies
Salt Lake City, UT8 hours ago $43k
Job Description Job Description Help us get local families in Good Hands! Our work environment includes: Family office setting Relaxed, fun atmosphere On-the-job training Food provided Casual work attire Growth opportunities We need an experienced...SuggestedBase plus commissionFull timeCasual workLocal areaRelocation packageDavis And Davis Inc, Allstate Insurance
West Jordan, UT4 days ago$19 - $24 per hour
...follow-ups, and surgical cases. Manage surgeon’s calendar, correspondence, and incoming calls. Prepare, process, and track prior authorizations, referrals, insurance documentation. Ensure accurate and timely completion of operative reports, letters, and chart notes...SuggestedFull timeContract workWork at officeImmediate startApex Recruiting Professionals
Millcreek, UT16 days ago$19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...For contractorsLocal areaHighmark Health
Salt Lake City, UT2 days ago- ...organized manner. Ensure proper infection control and safety protocols are followed at all times. Process referrals, prior authorizations, and prescription refills. Answer phone calls, respond to patient inquiries, and provide excellent customer service. Maintain...Work at office
Hidden Valley Family Medicine
Draper, UT13 days ago - Proactively connect with prospective clients to assess life insurance needs and recommend appropriate coverage solutions Operate as a performance-driven consultant, setting and tracking personal sales goals and activity metrics Educate clients on life insurance products...Remote jobFull time
Zuzick Organization of Globe Life
Orem, UT2 days ago - ...approval for sign off. # Assists provider with procedures. # Performs patient follow-up and coordinates care (e.g. obtains prior authorizations, completes patient forms/documents for provider review, follows-up on abnormal results, etc.), per clinic protocol. #...Work at office
HealthWest
Providence, UT1 day ago - ...ups as needed; submits prescriptions per provider instructions. Works with insurance companies, pharmacies as needed for prior authorizations. Maintains safe, secure, and healthy work environment by establishing and following standards and procedures, complying with...Full timeWork at officeLocal area
Reverhealth
Provo, UT16 hours ago - Zions Bancorporation is one of the nation's premier financial services companies operating as a collection of great banks under local brands and management teams in high-growth western markets. Zions is regularly recognized by American Banker as one of the "Best Banks...Work experience placementLocal areaFlexible hours
Zions Bancorporation
Salt Lake City, UT8 hours ago - ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...Permanent employmentFull timeWork at officeLocal area
Johnson & Johnson
West Jordan, UT4 days ago $2,500 per week
...there is absolutely NO COLD CALLING or book building – we provide all the branded leads you can work. Comprehensive Training: No prior experience? No problem! Our local hiring manager provides thorough training that covers all aspects of insurance and working leads,...Weekly payFor contractorsLocal areaLincoln Heritage Life Insurance Company
Provo, UTmore than 2 months ago$20 per hour
Job Description Location Name: Ascent Apartments (UT) COMPANY OVERVIEW Asset Living is a third-party management firm and a proven partner in fostering thriving communities nationwide. Founded in 1986, Asset Living has decades of experience delivering exceptional...Hourly payPermanent employmentFull timeWork at officeImmediate startNight shiftWeekend workAsset Living
Sandy, UT20 days ago$20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timePart timeSummer workInternshipWork at officeImmediate startWork from homeQBE North America
Salt Lake City, UT8 hours ago- ...medical needs as determined by the attending physician. Perform vital signs and obtain patient medical histories. Obtain prior authorizations for prescriptions and procedures. Maintain strict patient, computer, and company confidentiality. Fulfills patient...ReliefWork at officeImmediate start
Tanner Memorial Clinic
Layton, UT17 days ago $20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timeSummer workInternshipImmediate startQBE North America
West Jordan, UT4 days ago- ...us: Industry • Financial Services Employment Type • Full-time The Guardian Network® is a network of preferred providers authorized to offer products of The Guardian Life Insurance Company of America (Guardian), New York, NY and its subsidiaries. Wealth...Permanent employmentFull timeWork at office
Wealth Strategies
Salt Lake County, UT4 days ago - Job Description Job Description Futures Through Choices is hiring a Behavior Specialist to provide behavioral support to individuals with intellectual disabilities, traumatic brain Injuries, in addition to other cognitive and physical disabilities in our Northern Region...
Futures Through Choices
Ogden, UT27 days ago $120 - $131 per hour
" Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practiceHeadway
Provo, UT2 hours agonew
