Prior Authorization Specialist

Salt Lake City (Sandy), Utah

Are you experienced in Prior Authorizations, Insurance Verification, Benefits Investigation, Appeals, or Healthcare Administration
? We are actively hiring 7-10+ Prior Authorization Specialists to join a growing healthcare team in Sandy, Utah
!

This is an excellent opportunity for candidates looking to work with a supportive team, enjoy a professional work environment, and build a long-term career with opportunities to transition into a hybrid or remote schedule.

Competitive pay: $24-$28 per hour based on experience and interview performance

Fast hiring process with onsite interview events

Potential for hybrid or remote work after 6 months

Remote opportunities may be considered after training for highly qualified candidates

Fully stocked breakroom with complimentary snacks and beverages

Business casual environment

• Monday-Friday
• 9:00 AM - 5:00 PM

• Week 1:
  Classroom training
• Week 2:
  Job shadowing and hands-on learning

• Process prior authorization requests accurately and efficiently.
• Review payer requirements, step therapy guidelines, and authorization criteria.
• Manage insurance denials and appeals while adhering to payer-specific protocols.
• Verify insurance benefits and determine in-network and out-of-network coverage.
• Evaluate medical and pharmacy benefits to determine patient eligibility for treatment.
• Analyze insurance policies and gather supporting documentation from providers when needed.
• Communicate professionally with healthcare providers, patients, payers, and internal teams.
• Maintain timely and accurate documentation within Salesforce and other systems.
• Ensure compliance with payer regulations and internal quality standards.

• Insurance Verification or Benefits Investigation experience
• Appeals and Denials experience preferred
• Healthcare, specialty pharmacy, medical office, or insurance background
• Strong attention to detail and documentation skills
• Ability to review and interpret insurance policies
• Experience navigating multiple payer systems
• Excellent communication and customer service skills
• Salesforce experience is a plus

Positions are expected to fill quickly, and selected candidates can start as soon as possible.