Average salary: $43,553 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote workArgonaut Management Services, Inc
Salt Lake City, UT6 days ago- ...Full-time Description Job Summary: The Insurance Authorization Specialist secures approval from insurance carriers for medical... ...: Authorization Submission: Initiate, review, and track prior authorization requests for medical procedures, medications, or...SuggestedFull time
Orthopedic Care Partners
Salt Lake City, UT6 days ago - ...is looking for a qualified candidate to manage outpatient account authorizations primarily through remote work. This role includes insurance verification, calculating patient estimates, and securing prior authorizations before services are rendered. Candidates should...SuggestedRemote work
University of Utah Health
Salt Lake City, UT3 days ago - ...Insurance Verification Specialist Responsibilities & Duties: Verifying insurance for incoming referrals. Communicate prior authorization and referral requirements and requesting when necessary. Working with billing team on post-authorizations. Ability to request...SuggestedWork at office
Innovative Healthcare, Inc.
Salt Lake City, UT6 days ago $100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Salt Lake City, UT3 days ago- ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization....SuggestedWork at officeImmediate start
Baylor Scott & White Health
Salt Lake City, UT4 days ago - ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Salt Lake City, UT7 days ago $100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Salt Lake City, UT3 days ago- ...A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This 100% remote position offers flexibility while allowing pharmacists to transition from retail or hospital settings...SuggestedRemote work
Pharmacy Careers
Lehi, UT4 days ago - A healthcare partner organization is hiring a Remote Prior Authorization Pharmacist to evaluate prescription requests and improve patient access to therapies. This fully remote role offers flexibility with a focus on building expertise in managed care. Ideal candidates...SuggestedRemote work
Pharmacy Careers
South Jordan, UT2 days ago - ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...SuggestedRemote workWork from homeFlexible hours
Pharmacy Careers
South Jordan, UT2 days ago - ...Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....SuggestedRemote work
Pharmacy Careers
South Jordan, UT5 days ago $18 - $20 per hour
...through Friday, between 5 to 12am CST Pay: $18 to $20 an hour Responsibilities of the Pharmacy Technician: Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to...SuggestedHourly payWeekly payFull timeContract workTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursNight shiftAdecco Colombia S.A.
Draper, UT3 days ago- ...Clinical Pharmacy Technician Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. Essential Functions: Determines appropriateness for medications....SuggestedWork at office
Careers Integrated Resources Inc
Salt Lake City, UT4 days ago - ...Responsibilities Verifies patient insurance coverage timely utilizing phone or online resources. Submit prior authorizations to insurances in timely matter via payer specific portals and vendors Ensures all pertinent medical documentation is accurate and...Suggested
Myriad Genetics
Salt Lake City, UT5 days ago $20 - $22 per hour
...card information is up to date. Insurance & Claims Coordination: • Verify patient insurance coverage, coverage limits and prior authorization requirements. • Request medical documentation from healthcare providers and patients. • Assist in submitting prior...Hourly payFull timeWork at officeJQ Medical
Midvale, UT5 days ago- ...Responsibilities Education of Specialty Pharmacy patients, conducting refill authorization and therapeutic interchange through a collaborative practice agreement, assisting pharmacy technicians with prior authorization completion. Hybrid opportunities available. Responsible...Traineeship
JobRx, Inc.
Murray, UT2 days ago $62.97 per hour
...initiatives to ensure alignment with best practices and optimize patient care. Review medication requests that require prior authorization to ensure they meet clinical criteria for coverage. This involves assessing the appropriateness of the medication based on...TotalMed Staffing
West Valley, UT6 days ago$52 - $54.7 per hour
...include a weekend day(s). Primary Responsibilities: · Serve as a clinical resource working from a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, clarify, and...Hourly payWeekly payFull timeContract workTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift workNight shiftAdecco US, Inc.
Provo, UT7 days ago$29.05 - $67.97 per hour
...nursing experience. The role involves reviewing documentation for medical necessity, managing claims, and working on appeals for prior authorizations. Ideal candidates should demonstrate knowledge in ICD-10 coding and possess strong analytic and communication skills. The...Hourly payMolina Healthcare
Salt Lake City, UT1 day ago- ...judgment Manage and support provider inbox workflows, including clinical review, prioritization, and response coordination Oversee prior authorizations (PA) process for medications, procedures, and equipment, and manage more complex PAs as needed. Oversee MA staff to ensure...Interim roleRemote work
Bateman Horne Center
Salt Lake City, UT1 day ago - ...responsible for education of Specialty Pharmacy patients, conducting refill authorization and therapeutic interchange through a collaborative practice agreement, and assisting pharmacy technicians with prior authorization completion. This position has hybrid opportunities...Full timeTemporary workTraineeshipWork at officeMonday to FridayShift work
University of Utah Health
Salt Lake City, UT5 days ago $155k - $165k
...a patient call center. ~ Proven experience with payor access and coverage issues; in-depth knowledge of issues related to prior authorization process; experienced in educating on patient access support services across specialty and primary care. ~ Understanding of...Local areaFlexible hoursSyneos Health/ inVentiv Health Commercial LLC
Salt Lake City, UT4 days ago$16.15 - $28.8 per hour
...requests for services from members and/or providers Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles Provide appropriate triage and care coordination notification cases for non...Hourly payFull timeTemporary workLocal areaFlexible hoursAfternoon shiftCouncil Of State and Territorial Epidemiologists
Layton, UT1 day ago- ...and operate EKG machine to obtain reading. Observe, monitor and record patients' vital signs and health status. Obtain Prior Authorization from health insurance company prior to procedure being performed. Coordinates, schedules, and confirms patient exams and procedures...Work at officeWeekend workAfternoon shift
Reverhealth
Provo, UT4 days ago - ...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 areaFlexible hours
Granger Medical Clinic
Salt Lake City, UT2 days ago - ...responsible for education of Specialty Pharmacy patients, conducting refill authorization and therapeutic interchange through a collaborative practice agreement, and assisting pharmacy technicians with prior authorization completion. This position has hybrid opportunities...Traineeship
University of Utah
Salt Lake City, UT4 days ago $16.75 - $21.75 per hour
...opening M-F 8:30-5 pm EST What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health ?Benefits Eligibility and... ...to: Quotes of Coverage, Prescription and Insurance limits, Prior Authorizations and Contracted Pricing Reviewing accounts receivables...Hourly payTemporary workLocal areaImmediate startRemote workFlexible hoursCardinal Health
Salt Lake City, UT2 days ago- ...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 startMonday to FridayFlexible hours
Granger Medical
West Jordan, UT4 days ago - Why Work For Us? ~ 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
AAA Northern California, Nevada & Utah
Salt Lake City, UT5 days ago
