University of Utah
Prior Authorization Representative I - Dermatology
University of Utah, Salt Lake City, Utah, United States, 84193
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Prior Authorization Representative I - Dermatology
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University of Utah 3 days ago Be among the first 25 applicants Join to apply for the
Prior Authorization Representative I - Dermatology
role at
University of Utah Job Summary
This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to patients. Job Summary
This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to patients.
This position is eligible for work from home and/or hybrid work options. Might be required to work onsite during training period.
Responsibilities
Essential Functions
Verifies insurance eligibility, benefits, network status and creates pre-service liability estimate.
Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
Secures prior authorizations for outpatient imaging and in office scheduled services.
Acts as a liaison between the payer and clinic schedulers/medical support staff.
Follows up on delayed or denied authorization requests and escalates for resolution.
Creates detailed documentation and maintains/stores the authorization paper trail.
May work to resolve claims denials related to the prior authorization.
Knowledge / Skills / Abilities
Basic knowledge of accounting, word processing and spreadsheets.
Demonstrated critical thinking and ability to analyze information and problem solve.
Demonstrated professional verbal/written communication skills.
Ability to work independently within a team setting.
Ability to adapt to a dynamic work environment.
Demonstrated ability to prioritize and manage a large workload in stressful situations.
Ability to multitask.
Familiarity with human anatomy and medical terminology.
Demonstrated ability to complete work with a high level of detail and accuracy.
Ability to meet process time standards.
Ability to provide professional and courteous service in all interactions with internal and external customers.
Ability to navigate through various hospital software applications, including Epic ADT/Prelude, Cadence, Epicare, Referrals and Auth/Cert applications.
Ability to navigate and maneuver through multiple web sites.
Required
Minimum Qualifications
Two years of experience in a health care financial setting, or equivalency (one year of education can be substituted for two years of related work experience).
Preferred
Previous experience with medical insurance and prior-authorizations.
ICD/CPT coding experience.
Outpatient or Radiology prior authorizations experience.
Preferences
Special Instructions
Requisition Number:
PRN42768B
Full Time or Part Time?
Full Time
Work Schedule Summary:
Monday – Friday
Department:
01455 - Dermatology Clinical Hpp
Location:
Other
Pay Rate Range:
19.27 - 25.49
Close Date:
11/5/2025
Open Until Filled
To apply, visit https://utah.peopleadmin.com/postings/186867
Copyright 2025 Jobelephant.com Inc. All rights reserved.
Posted by the FREE value-added recruitment advertising agency
jeid-089e7d758da7e644ace6d63e06d80527 Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Other Industries Higher Education Referrals increase your chances of interviewing at University of Utah by 2x Sign in to set job alerts for “Representative” roles.
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Prior Authorization Representative I - Dermatology
role at
University of Utah 3 days ago Be among the first 25 applicants Join to apply for the
Prior Authorization Representative I - Dermatology
role at
University of Utah Job Summary
This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to patients. Job Summary
This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to patients.
This position is eligible for work from home and/or hybrid work options. Might be required to work onsite during training period.
Responsibilities
Essential Functions
Verifies insurance eligibility, benefits, network status and creates pre-service liability estimate.
Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
Secures prior authorizations for outpatient imaging and in office scheduled services.
Acts as a liaison between the payer and clinic schedulers/medical support staff.
Follows up on delayed or denied authorization requests and escalates for resolution.
Creates detailed documentation and maintains/stores the authorization paper trail.
May work to resolve claims denials related to the prior authorization.
Knowledge / Skills / Abilities
Basic knowledge of accounting, word processing and spreadsheets.
Demonstrated critical thinking and ability to analyze information and problem solve.
Demonstrated professional verbal/written communication skills.
Ability to work independently within a team setting.
Ability to adapt to a dynamic work environment.
Demonstrated ability to prioritize and manage a large workload in stressful situations.
Ability to multitask.
Familiarity with human anatomy and medical terminology.
Demonstrated ability to complete work with a high level of detail and accuracy.
Ability to meet process time standards.
Ability to provide professional and courteous service in all interactions with internal and external customers.
Ability to navigate through various hospital software applications, including Epic ADT/Prelude, Cadence, Epicare, Referrals and Auth/Cert applications.
Ability to navigate and maneuver through multiple web sites.
Required
Minimum Qualifications
Two years of experience in a health care financial setting, or equivalency (one year of education can be substituted for two years of related work experience).
Preferred
Previous experience with medical insurance and prior-authorizations.
ICD/CPT coding experience.
Outpatient or Radiology prior authorizations experience.
Preferences
Special Instructions
Requisition Number:
PRN42768B
Full Time or Part Time?
Full Time
Work Schedule Summary:
Monday – Friday
Department:
01455 - Dermatology Clinical Hpp
Location:
Other
Pay Rate Range:
19.27 - 25.49
Close Date:
11/5/2025
Open Until Filled
To apply, visit https://utah.peopleadmin.com/postings/186867
Copyright 2025 Jobelephant.com Inc. All rights reserved.
Posted by the FREE value-added recruitment advertising agency
jeid-089e7d758da7e644ace6d63e06d80527 Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Other Industries Higher Education Referrals increase your chances of interviewing at University of Utah by 2x Sign in to set job alerts for “Representative” roles.
Salt Lake City, UT $60,000.00-$120,000.00 4 days ago Salt Lake City, UT $115,000.00-$184,000.00 1 week ago Account Executive, Territory (Mid-Market)
Salt Lake City, UT $85,000.00-$170,000.00 2 days ago Salt Lake City, UT $110,000.00-$150,000.00 1 month ago Customer Service Representative - State Farm Agent Team Member
Centerville, UT $55,000.00-$65,000.00 6 months ago Salt Lake City Metropolitan Area $40,000.00-$230,000.00 1 month ago Account Executive (Clinical Toxicology - UT,ID,NV)
Magna, UT $75,000.00-$175,000.00 2 days ago Salt Lake City, UT $70,000.00-$100,000.00 1 week ago Salt Lake City, UT $125,000.00-$250,000.00 1 week ago Customer Service Representative - WORK FROM HOME
Salt Lake City, UT $80,000.00-$95,000.00 2 weeks ago Salt Lake City, UT $200,000.00-$240,000.00 6 months ago Salt Lake City Metropolitan Area 4 months ago West Valley City, UT $90,000.00-$110,000.00 1 day ago Customer Service Representative - State Farm Agent Team Member
Farmington, UT $45,000.00-$60,000.00 2 years ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr