University of Utah Health Research
Prior Authorization Representative I - Dermatology
University of Utah Health Research, Salt Lake City, Utah, United States, 84193
Job Details
Open Date:
11/13/2025
Requisition Number:
PRN43576B
Job Title:
Prior Authorization Representative I
Working Title:
Prior Authorization Representative I - Dermatology
Career Progression Track:
UGR
FLSA Code:
Nonexempt
Patient Sensitive Job Code?:
No
Standard Hours per Week:
40
Full Time or Part Time?:
Full Time
Shift:
Day
Work Schedule Summary:
Monday – Friday
VP Area:
U of U Health - Academics
Department:
01455 - Dermatology Clinical Hpp
Location:
Other
City:
Salt Lake City, UT
Type of Recruitment:
External Posting
Pay Rate Range:
19.27 - 25.49
Close Date:
11/19/2025
Job Summary This position is responsible for securing outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. The role works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorization process. The position is not responsible for providing direct patient care. This position may be eligible for work‑from‑home and/or hybrid work options and may require on‑site work during the training period.
Responsibilities
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.
Professional verbal and written communication skills.
Ability to work independently within a team setting.
Adaptability to a dynamic work environment.
Ability to prioritize and manage a large workload in stressful situations.
Multitasking ability.
Familiarity with human anatomy and medical terminology.
Attention to detail and accuracy.
Ability to meet process time standards.
Professional and courteous service in all interactions with internal and external customers.
Proficiency with hospital software applications, including Epic ADT/Prelude, Cadence, Epicare, Referrals and Auth/Cert applications.
Ability to navigate multiple websites.
Qualifications
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.
Preferred:
ICD/CPT coding experience.
Preferred:
Outpatient or Radiology prior authorizations experience.
Preferences
Type: Benefited Staff
Seniority Level Entry level
Employment Type Full‑time
Job Function Other
Industries Higher Education
EEO & Equal Opportunity Statement The University of Utah is an affirmative action/equal opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy‑related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affinitive Action (OEO/AA). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at:
https://www.utah.edu/nondiscrimination/ .
Online reports may be submitted at oeo.utah.edu. https://safety.utah.edu/safetyreport includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security‑related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.
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Open Date:
11/13/2025
Requisition Number:
PRN43576B
Job Title:
Prior Authorization Representative I
Working Title:
Prior Authorization Representative I - Dermatology
Career Progression Track:
UGR
FLSA Code:
Nonexempt
Patient Sensitive Job Code?:
No
Standard Hours per Week:
40
Full Time or Part Time?:
Full Time
Shift:
Day
Work Schedule Summary:
Monday – Friday
VP Area:
U of U Health - Academics
Department:
01455 - Dermatology Clinical Hpp
Location:
Other
City:
Salt Lake City, UT
Type of Recruitment:
External Posting
Pay Rate Range:
19.27 - 25.49
Close Date:
11/19/2025
Job Summary This position is responsible for securing outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. The role works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorization process. The position is not responsible for providing direct patient care. This position may be eligible for work‑from‑home and/or hybrid work options and may require on‑site work during the training period.
Responsibilities
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.
Professional verbal and written communication skills.
Ability to work independently within a team setting.
Adaptability to a dynamic work environment.
Ability to prioritize and manage a large workload in stressful situations.
Multitasking ability.
Familiarity with human anatomy and medical terminology.
Attention to detail and accuracy.
Ability to meet process time standards.
Professional and courteous service in all interactions with internal and external customers.
Proficiency with hospital software applications, including Epic ADT/Prelude, Cadence, Epicare, Referrals and Auth/Cert applications.
Ability to navigate multiple websites.
Qualifications
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.
Preferred:
ICD/CPT coding experience.
Preferred:
Outpatient or Radiology prior authorizations experience.
Preferences
Type: Benefited Staff
Seniority Level Entry level
Employment Type Full‑time
Job Function Other
Industries Higher Education
EEO & Equal Opportunity Statement The University of Utah is an affirmative action/equal opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy‑related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affinitive Action (OEO/AA). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at:
https://www.utah.edu/nondiscrimination/ .
Online reports may be submitted at oeo.utah.edu. https://safety.utah.edu/safetyreport includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security‑related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.
#J-18808-Ljbffr