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Remote Prior Authorization Jobs in Utah (NOW HIRING)

Possibilities

BCBA (Full-Time, Remote)

Saint George, UT · Remote

$75K - $105K/yr

... authorization fulfillment (escalate to Clinical Director as necessary) * Communicate ongoing ... Prior experience in a remote role is preferred. * Willingness to travel to our center on a ...

BambooHR

Staff Software Engineer

Draper, UT · Remote

This is a remote position available in the state listed on this job. Additionally, employment with ... Prior work on API token systems -- scoped tokens, machine-to-machine auth, token introspection, or ...

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Remote Prior Authorization information

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$12

$19

$29

How much do remote prior authorization jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote 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 a remote prior authorization job?

Remote prior authorization jobs involve reviewing and processing requests from healthcare providers to determine if specific medical treatments, medications, or procedures are covered by a patient's insurance plan. Employees in these roles work from home, utilizing online systems to evaluate clinical information, communicate with providers, and ensure compliance with insurance policies. This position requires a strong understanding of medical terminology, insurance guidelines, and attention to detail to facilitate timely and accurate approvals or denials. Remote prior authorization specialists help streamline patient care by acting as a liaison between healthcare providers and insurance companies.

What are some common challenges faced by remote prior authorization specialists, and how can they be addressed?

Remote Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and maintaining clear communication with healthcare providers and payers. Staying organized and up-to-date on payer policies is crucial, as requirements can vary widely between insurers. Utilizing workflow management tools and fostering strong collaboration with clinical and administrative teams can help streamline processes and reduce delays, ultimately ensuring patients receive timely care.

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

To thrive as a Remote Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These skills ensure timely and accurate processing of authorizations, reducing claim denials and supporting efficient patient care.

What is the difference between Remote Prior Authorization vs Remote Medical Coder?

AspectRemote Prior AuthorizationRemote Medical Coder
Required CredentialsMedical credentials, insurance knowledgeMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare offices, insurance companies, remoteHealthcare facilities, remote coding jobs
Industry UsageInsurance, healthcare providersHospitals, clinics, billing companies
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Remote Prior Authorization and Remote Medical Coder roles both operate within the healthcare industry but focus on different tasks. Remote Prior Authorization involves reviewing insurance requests for coverage approval, requiring insurance and medical knowledge. Remote Medical Coders translate medical records into standardized codes, primarily focusing on billing and documentation. Both roles can be performed remotely and require healthcare-related credentials, but their daily responsibilities and skill sets differ significantly.

What is a remote prior authorization job?

Remote prior authorization jobs focus on working with insurance companies to coordinate benefit coverage and get approval to provide care for a patient. In this pre-authorization role, you may collect documentation and proof of insurance, perform data entry, help evaluate the need for a particular process, and otherwise work from home to help manage the prior authorization process. Remote prior authorization personnel often answer telephone calls to provide consultations, perform initial benefit verification, document case status, actions, and outcomes in a database, and use customer service skills to help expedite cases as needed. Since this is a remote call center-style job, you may be asked to arrange for a quiet office in your house that is free of distractions.

More about Remote Prior Authorization jobs

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 Remote Prior Authorization jobs in Utah?

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

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

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

What cities in Utah are hiring for Remote Prior Authorization jobs?

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

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Utah as of August 2026, with employment types broken down into 67% Part Time, and 33% Contract. Highlights an 100% Remote job distribution, with an average salary of $39,564 per year, or $19 per hour.

Prior Authorization Representative I

University of Utah Health

Salt Lake City, UT • On-site, Remote

$16.50 - $21/hr

Full-time

Posted 4 days ago

University Of Utah Health rating

7.7

Company rating: 7.7 out of 10

Based on 142 frontline employees who took The Breakroom Quiz

157th of 887 rated healthcare providers

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

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