Average salary: $43,553 /yearly
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$47.69 - $56.78 per hour
...under limited technical direction and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedHourly payContract workTemporary workLocal areaArgonaut Management Services, Inc
Salt Lake City, UT4 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, UT4 days ago - ...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
- ...submission, status, and adjudication Benefit and plan interpretation Member cost-sharing and billing questions Prior authorizations and coordination of benefits Appeals and overpayment recoupment Verify and communicate patient eligibility,...SuggestedContract workFor contractorsLocal areaRemote work
Pride Global
Lehi, UT3 days ago $25 - $30 per hour
...Duties and Responsibilities: Greet patients and visitors in a prompt, courteous and helpful manner. Schedule new patients Obtain prior authorizations from insurance companies Answer telephone Assist billing company with information needed to submit claims to insurance...SuggestedHourly payWork at officeWASATCH MEDICAL IMAGING, LLC
Heber, UT26 days ago- ...credit 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 authorization...SuggestedWork at office
JQ Medical
Midvale, UT4 days ago $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- ...to provide patient care including telephone triage, insurance authorizations, preparing sleep study packets and keeping up on quality assurance... ...procedures of any types. Required - Experience with prior authorization and insurance benefit background as well as speaking...SuggestedTemporary workWork at officeLocal areaImmediate startFlexible hours
Granger Medical
Salt Lake City, UT19 days ago - ...day-to-day operations of the clinic, including administering allergy injections, supporting patient care, and assisting with prior authorizations when needed. Comprehensive, hands-on training will be provided. Spanish-speaking candidates are preferred but not required....SuggestedFull timeWork experience placementWork at officeLocal areaFlexible hours
Granger Medical
Draper, UT1 day ago $27.57 - $41.44 per hour
...responsibilities of this position: Clinical Review & Decision Support: Conduct comprehensive clinical reviews of prior authorization submissions against evidence-based clinical criteria. Assess medical necessity and appropriateness of requested services,...SuggestedHourly payFull timeWork at officeRemote workRelocationUtah Division of Human Resource Management
Salt Lake City, UT4 days ago- ...experienced Registered Nurse for clinical criteria reviews and medical necessity evaluations. Responsibilities include assessing prior authorizations, ensuring compliance with regulations, and collaborating with healthcare providers. The role involves hybrid work...Suggested
- Utah Medicaid Pharmacist to support the development, implementation, and oversight of pharmacy coverage policy and prior authorization programs. This position is responsible for reviewing and developing coverage policies, creating and maintaining clinical prior authorization...Suggested
- A government agency in Salt Lake City seeks a Utah Medicaid Pharmacist to oversee pharmacy coverage policies and prior authorization programs. The ideal candidate will evaluate clinical literature, review prior authorization requests for appropriateness, and contribute...Suggested
$117.6k - $161.7k
A healthcare services organization is seeking an Informatics Lead to provide analytical support for Medicaid Prior Authorization reporting. This role involves collaborating with various teams, ensuring compliance with regulations, and mentoring junior staff. Key qualifications...SuggestedRemote job$23.15 per hour
...healthcare operations, provider support, or medical claims Strong understanding of claims adjudication, eligibility, and prior authorization processes Excellent written and verbal communication skills, with the ability to explain complex information clearly Highly...SuggestedWork at officeRemote workWeekday workRussell Tobin
Lehi, UT4 days ago$15.9 - $17 per hour
...the much‑needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hours$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, UT5 days ago$19 per hour
...responsibilities include: Conducting telephone triage and communicating with parents/guardians Managing insurance authorizations and prior approvals Recording vital signs (blood pressure, temperature, height, weight, etc.) Administering immunizations...Temporary workWork at officeLocal areaMonday to FridayFlexible hoursGranger Medical
Riverton, UT2 days ago- ...Handle patient communication, including phone calls, messages, and follow-ups Assist with scheduling, referrals, and prior authorizations as needed Maintain inventory of medical supplies and assist with ordering Support clinic flow to ensure an efficient...Full time
Doterra
Pleasant Grove, UT4 days ago - ...machine, 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...Work at officeWeekend workAfternoon shift
Revere Health
Provo, UT24 days ago - ...Claims submission, status, and adjudication Benefit and plan interpretation Member cost-sharing and billing questions Prior authorizations and coordination of benefits Appeals and overpayment recoupment Verify and communicate patient eligibility, coverage...Contract workLocal areaImmediate startRemote work
Russell Tobin
Lehi, UT2 days ago $22.55 - $23.15 per hour
...Claims submission, status, and adjudication Benefit and plan interpretation Member cost-sharing and billing questions Prior authorizations and coordination of benefits Appeals and overpayment recoupment Verify and communicate patient eligibility, coverage...Local areaRemote workWork from homeRussell Tobin
Lehi, 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, UT5 days ago - ...patient care. Responsibilities include telephone triage, insurance authorizations, recording vital signs (blood pressure, temperature, etc.),... ...maintain accurate patient demographic information Obtain prior authorizations for medications and procedures Prepare patients...Full timeTemporary workWork at officeLocal areaImmediate startFlexible hours
Granger Medical
West Jordan, UT1 day 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, UT1 day ago $92.67k - $128.05k
...Manages the selection, growth, and maintenance of a profitable portfolio within an assigned territory within assigned underwriting authority. Conducts comprehensive evaluations of moderately complex specialty accounts, including diverse business operations within the...Work at officeLocal area- A leading insurance provider is seeking a Sr. Underwriter I to evaluate risks and support business strategies. This role requires expertise in commercial lines underwriting and excellent communication skills to enhance agency relationships. The successful candidate will...
$66.8k - $142.8k
A leading insurance company is seeking an Executive Underwriter to underwrite and pursue new business within the brokerage network. The ideal candidate has a bachelor's degree and 2+ years of underwriting experience, along with strong analytical and communication skills...Remote job- A regional insurance company is seeking a Senior Commercial Underwriter in Utah. The role involves underwriting commercial property and casualty accounts, assessing risk, and managing agency relationships. Candidates should have a Bachelor’s Degree and over 5 years of experience...Remote job
$117.6k - $161.7k
...our caring community The Informatics Lead is responsible for providing advanced analytical support and oversight for Medicaid Prior Authorization (PA) reporting. This role will drive informatics initiatives that directly support HCPR Risk Management, Medicaid Customer...Full timeTemporary workRemote work
