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Prior Authorization Jobs in Utah (NOW HIRING)

Prior Authorization Specialist

Sandy, UT · On-site

$17 - $22.75/hr

The Prior Authorization Specialist is a vital team member responsible for efficiently managing the prior authorization process to ensure seamless patient care and timely treatment. This position ...

The Prior Authorization Specialist is a vital team member responsible for efficiently managing the prior authorization process to ensure seamless patient care and timely treatment. This position ...

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Prior Authorizations & Intake Full-Time | Salt Lake City, Utah Area Compensation & Benefits $23-$28 per hour , depending on experience. In addition to competitive compensation, this organization ...

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Prior Authorization information

See Utah salary details

$12

$19

$29

How much do prior authorization jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for prior authorization in Utah is $19.02, according to ZipRecruiter salary data. Most workers in this role earn between $15.77 and $21.01 per hour, depending on experience, location, and employer.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

What is the difference between Prior Authorization vs Medical Billing Specialist?

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the most commonly searched types of Prior Authorization jobs in Utah?

The most popular types of Prior Authorization jobs in Utah are:

What are popular job titles related to Prior Authorization jobs in Utah?

For Prior Authorization jobs in Utah, the most frequently searched job titles are:

What cities in Utah are hiring for Prior Authorization jobs?

Cities in Utah with the most Prior Authorization job openings:

Infographic showing various Prior Authorization job openings in Utah as of August 2026, with employment types broken down into 4% Internship, 57% Full Time, 31% Part Time, 4% Temporary, and 4% Contract. Highlights an 92% In-person, and 8% Hybrid job distribution, with an average salary of $39,564 per year, or $19 per hour.

Coordinator, Prior Authorization

University of Utah

Salt Lake City, UT • On-site

$18.25 - $22.75/hr

Other

Posted 21 days ago


University Of Utah rating

7.2

Company rating: 7.2 out of 10

Based on 159 frontline employees who took The Breakroom Quiz

386th of 622 rated colleges and universities


Job 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.

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About University of Utah

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The University of Utah is the state’s flagship institution of higher education, with 18 schools and colleges, more than 100 undergraduate majors and graduate programs, and an enrollment of more than 38,000 students. It is a member of the Association of American Universities—an invitation-only, prestigious group of 71 leading research institutions. The U is advancing a new national model for higher education that delivers societal impact through education, research, health care, and community service, while making social, economic, and cultural contributions that improve lives across Utah and around the world.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Salt Lake City, UT, US