- University of Utah (Salt Lake City, UT)
- Details **Open Date** 02/21/2025 **Requisition Number** PRN41250B **Job Title** Prior Authorization Representative II **Working Title** Prior ... candidate will exemplify these attributes too. We are looking for an experienced ** Prior Authorization Representative II** to join our team. As the Prior… more
- Molina Healthcare (Orem, UT)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains Point of Sale… more
- Intermountain Health (Provo, UT)
- …orders are proposed, signed off and sent for hospital orders. + Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior ... go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for...includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any… more
- Intermountain Health (Provo, UT)
- …appropriate accounts to determine insurance coordination of benefits, may include pre-certification/ prior authorization . + Assists patients in completing ... This is a full-time position M-F typically 8-5. The Patient Service Representative (PSR) serves as the first connection between Intermountain and patients. This… more
- Cardinal Health (Salt Lake City, UT)
- …and pharmacy insurance benefit practices, preferred + 1-2 years experience with Prior Authorization and Appeal submissions, preferred + Ability to work ... of the patient and/or program. + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance.… more