University of Utah logo

Coordinator, Prior Authorization

University of Utah

  • Salt Lake City, UT
  • 1 day ago
  • Full-time
Want to know if you’re a fit?
Upload your resume and let our AI show you.

Skills

  • Communication Skillsunmatched
  • Computer Skillsunmatched
  • Financial Managementunmatched
  • Identify Issuesunmatched
  • Medical Testsunmatched
  • Medical Treatmentunmatched
  • Nursing Managementunmatched
  • Organizational Skillsunmatched
  • Problem Solving Skillsunmatched
  • Team Playerunmatched
  • Time Managementunmatched

Description

The Division of Pediatric Clinical Enterprise at the University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible for obtaining prior authorization before services are rendered for requested procedures, testing, and medications. Responsibilities also include the coordination and scheduling of certain procedures and tests. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that arise during the prior authorizations process.

A high level of computer literacy for daily navigation through multiple electronic systems, trouble shooting, and completion of tasks is necessary. This position is team‐based where excellent communication and collaboration are vital components for completing responsibilities in an efficient and timely manner.

Job Responsibilities

Responsibilities
DisclaimerThis job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.
Essential FunctionsVerifies insurance eligibility, benefits, and network status.
Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
Obtains pre‐authorization and referrals from insurance companies for diagnostic testing, procedures, treatments, and medication as ordered by healthcare providers.
Follows up on delayed or denied authorization requests and escalates for resolution.
Creates detailed documentation and maintains/stores the authorization paper trail.
Depending on the area of assignment, coordinates schedules for surgery and surgical procedures, testing and other services as requested and in accordance with departmental policy and procedures.
Effectively work with other team members in order to complete tasks efficiently and collaboratively.
Participates in quality improvement projects by developing data collection tools, analyzing, compiling and reporting data, and providing input to the QI process.

Numbers & Facts

LocationSalt Lake City, UT
Job TypeFull-time
IndustryEducation
Year Founded1850
Websitehttp://www.utah.edu/

Qualifications

Three years of experience working in an office or clinic, with an emphasis in scheduling, or a related area, or equivalency (one year of education can be substituted for two years of related work experience); and demonstrated effective communication, human relations, and computer skills required. Some areas of assignment require completion of a medical terminology course, certification related to specific area, and/or additional years of related experience.

This position is patient-sensitive and must fulfill all associated requirements. We protect our patients, coworkers, and community by requiring all patient-sensitive employees to be immunized according to CDC standards and hospital policy. Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

About Company

The state’s oldest and largest institution of higher education, the University of Utah is the flagship university of the state. The University offers more than 100 undergraduate and 90 graduate degree programs to more than 31,000 students (23,500 undergraduate and 7,500 graduate). The University is noted for its high research profile, its diversity of ideas and people, its stunningly beautiful setting and the warmth, friendliness, and collegiality of its faculty staff, and students. Imagine yourself working in a collaborative, creative, respectful environment where everyone’s contribution is needed and appreciated – University of Utah!

Similar Jobs

See more jobs