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Remote Prior Authorization Analyst Jobs in Utah (NOW HIRING)

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BCBA (Full-Time, Remote)

Saint George, UT · Remote

$75K - $105K/yr

PEAK, VB-MAPP, Functional Analyses, ABLLS, AFLS, preference assessments, functional analyses, etc ... Prior experience in a remote role is preferred. * Willingness to travel to our center on a ...

micro1 AI

Cheminformatics Specialist - Remote

Provo, UT · Remote

$80 - $110/hr

No prior experience in AI is required -- your domain knowledge is what matters. Scope of Work ... Analyze and interpret small-molecule and drug discovery datasets using advanced computational ...

micro1 AI

Digital Chemistry Specialist - Remote

Provo, UT · Remote

$90 - $120/hr

No prior experience in AI is required -- your domain knowledge is what matters. Scope of Work ... Analyze complex datasets related to medicinal chemistry using advanced bioinformatics methodologies.

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Remote Prior Authorization Analyst information

What is the difference between Remote Prior Authorization Analyst vs Remote Claims Processor?

AspectRemote Prior Authorization AnalystRemote Claims Processor
Required CredentialsHealthcare certifications, knowledge of insurance policiesBasic insurance knowledge, data entry skills
Work EnvironmentHome office, healthcare or insurance companiesHome office, insurance companies or third-party administrators
Employer & IndustryHospitals, insurance providers, healthcare organizationsInsurance companies, third-party claims firms
Common Search/ComparisonYesYes

The Remote Prior Authorization Analyst and Remote Claims Processor roles both operate in the healthcare insurance industry and often require knowledge of insurance policies. However, the analyst focuses on obtaining prior approvals for treatments, while the claims processor handles the processing of insurance claims after services are rendered. Both roles are typically remote, involve working within healthcare or insurance organizations, and are frequently compared by job seekers seeking similar positions in the industry.

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

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

What job categories do people searching Remote Prior Authorization Analyst jobs in Utah look for?

The top searched job categories for Remote Prior Authorization Analyst jobs in Utah are:

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Cities in Utah with the most Remote Prior Authorization Analyst job openings:

Remote Prior Authorization Analyst jobs near you
Infographic showing various Remote Prior Authorization Analyst job openings in Utah as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Prior Authorization Representative I

University of Utah Health

Salt Lake City, UT • On-site, Remote

$16.50 - $21/hr

Full-time

Posted 10 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 620 rated colleges and universities

Job description

Overview
This position is primarily remote work, but candidate must reside within the state of Utah for this one.
Top candidates will also have some prior working experience in Prior Authorizations.
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to patients.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
  • Verifies insurance eligibility, benefits, network status, and creates pre-service liability estimate.
  • Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
  • Secures prior authorizations for outpatient imaging and in office scheduled services.
  • Acts as a liaison between the payer and clinic schedulers/medical support staff.
  • Follows up on delayed or denied authorization requests and escalates for resolution.
  • Creates detailed documentation and maintains/stores the authorization paper trail.
  • May work to resolve claims denials related to the prior authorization.
Knowledge / Skills / Abilities
  • Basic knowledge of accounting, word processing, and spreadsheets.
  • Demonstrated critical thinking and ability to analyze information and problem solve.
  • Demonstrated professional verbal/written communication skills.
  • Ability to work independently within a team setting.
  • Ability to adapt to a dynamic work environment.
  • Demonstrated ability to prioritize and manage a large workload in stressful situations.
  • Ability to multitask.
  • Familiarity with human anatomy and medical terminology.
  • Demonstrated ability to complete work with a high level of detail and accuracy.
  • Ability to meet process time standards.
  • Ability to provide professional and courteous service in all interactions with internal and external customers.
  • Ability to navigate through various hospital software applications, including Epic ADT/Prelude, Cadence, Epicare, Referrals and Auth/Cert applications.
  • Ability to navigate and maneuver through multiple web sites.

Qualifications
Required
  • Two years of experience in a health care financial setting, or the equivalency.

Qualifications (Preferred)
Preferred
  • Previous experience with medical insurance and prior-authorizations.
  • ICD/CPT coding experience.
  • Outpatient or Radiology prior authorizations experience.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull, or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements
Listening, Sitting, Speaking

What University Of Utah employees say

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About University of Utah

Sourced by ZipRecruiter

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

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