- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting, word… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 01/08/2026 **Requisition Number** PRN43980B **Job Title** Prior Authorization Representative I **Working Title** Prior ... close at any time)** 01/22/2026 **Job Summary** We are looking for an experienced Prior Authorization Representative to join our team. As the ** Prior … more
- Intermountain Health (West Valley City, UT)
- …appropriate accounts to determine insurance coordination of benefits, may include pre-certification/ prior authorization . + Assists patients in completing ... **Job Description:** The Patient Service Representative (PSR) serves as the first connection between...necessary forms to meet regulatory and billing needs prior to receiving clinical care. Scans necessary paperwork and… more
- Molina Healthcare (Layton, UT)
- …Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and providers with… more
- Highmark Health (Salt Lake City, UT)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- Emerson (Salt Lake City, UT)
- …Participation in select professional meetings, trade shows, and conferences as a representative of Emerson **WHO YOU ARE:** You adjust communication content and ... annually within the United States and Canada + Legal authorization to work in the United States without the...work visas **Preferred Qualifications that Set You Apart:** + Prior experience and relationships w/ Hyper Scale customers (Oracle,… more
- Owens & Minor (Salt Lake City, UT)
- …insurance coverage, allergy and medical conditions as necessary. V. Contact patients prior to their next order due date and process all patients' prescriptions; ... every moth/ responsible for information patient of co-pay and attempt of collection prior to shipping order. VI. Keep customer database current and accurate with… more
- Air National Guard Units (Salt Lake City, UT)
- …Conditions of Employment MILITARY REQUIREMENTS: Compatible military grade and assignment required prior to the effective date of placement. This is an excepted ... are eligible for military membership, please contact a National Guard recruiter prior to applying for this position. Military Rank: Enlisted National Guard… more
- General Motors (Salt Lake City, UT)
- …in accordance with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado, California, or Washington. ... the immigration employer of record on a government form, and any work authorization requiring a written submission or other immigration support from the company (eg,… more
- RTX Corporation (Salt Lake City, UT)
- …+ Typically requires a University Degree or equivalent experience and minimum 5 years prior relevant experience, or An Advanced Degree in a related field and minimum ... automation tools, and processing information. + Experience in written contractual authorization /vehicles (Firm Fixed Price, Cost Plus, T&M, etc.). + Experience with… more
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