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Remote Prior Authorization Jobs in Utah (NOW HIRING)

Adecco

Pharmacist Pipeline Provo UT

Provo, UT · On-site +1

$52 - $54.70/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Adecco

Pharm Tech Pipeline Provo UT

Provo, UT · Remote

$18 - $20/hr

Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of ...

Adecco

Pharm Tech Pipeline Draper UT

Draper, UT · Remote

$18 - $20/hr

Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of ...

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 ...

Aspire365

Registered Nurse

Sandy, UT · Remote

$65K - $70K/yr

... prior authorizations. * Monitor clients' sleep and collaborate on the development and ... Familiarity with remote work tools, including telehealth platforms, and proficiency in electronic ...

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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Utah

Remote Prior Authorization information

See Utah salary details

$12

$19

$29

How much do remote prior authorization jobs pay per hour?

As of Jul 27, 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 are remote prior authorization jobs?

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 Are Remote Prior Authorization Jobs?

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 July 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.

Clinical Pharmacy Technician (Remote)

MRIoA

Salt Lake City, UT • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

Job description

Description
Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we're a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
  • A competitive compensation package
  • Benefits include healthcare, vision, and dental insurance
  • A generous 401(k) match
  • Paid vacation, PTO, and holidays
  • Growth and training opportunities
  • An award-winning remote work environment

Position Summary
  • Our Clinical Pharmacy Technician processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and client performance commitments.
  • Performs analysis, obtains information, and enters prior authorization data necessary for claims adjudication. Utilizes reasoning skills to identify missing information and make prior authorization processing determinations based on clinical protocols and client guidelines (approve, pend, refer for clinical decision, etc.).
  • Interacts with internal and external customers to provide and obtain information and ensures the delivery of outstanding service and quality.

Roles
  • Process and finalize PA requests within clients' turnaround time (TAT) and Performance Guarantees (PGs) utilizing guidelines.
  • Accountable for achieving prior authorization processing productivity and accuracy standards

Major Responsibilities or Assigned Duties
  • Enter prior authorizations into the system and prioritize requests.
  • Check formulary alternatives and review tried and failed medications.
  • Utilize drug references and verify the drug being requested is indicated and approved for the condition.
  • Document all related information regarding the PA approval or non-approval.
  • Conform to defined roles & responsibilities and rules of engagement between prior authorization processing and clinical decision-making. Partner with assigned clinical pharmacists to ensure strict adherence to the boundaries and timeframes of administrative processing.
  • Analyze, research, and resolve prior authorization processing issues, including making written or telephone inquiries to obtain information from clients, members, physicians, or pharmacies; obtaining input from supervisor or clinical pharmacists; and referring unique or high dollar requests to supervisor according to guidelines.
  • Coordinate within client system outbound communication to members, physicians, and pharmacies as required to obtain missing information and manage pending requests.
  • Document prior authorization-related information and status.
  • Make outbound calls to obtain information and answer questions about prior authorization status.
  • Protect and maintain confidentiality and privacy of all prior authorization and member information, including following strict protocols for date stamping and storage/security of prior authorization forms and related information.
  • Identify and recommend operational improvements.
  • Participate in and support all applicable Quality Management initiatives
  • Maintain a flexible schedule to meet client needs, as needed
  • Adhere to all policies and procedures
  • Take feedback and responsibility for performance
  • Adapt to the differences of clients
  • Support all Compliance Program activities
  • Complete other duties and responsibilities as directed

Position Levels
Each level attained compounds responsibilities with those of prior level(s).
Clinical Pharmacy Technician I:
  • Production should increase regularly, from 1-3 to 7 Prod steps/hour
  • Quality should increase regularly, with expected minimum rate of 95%

Clinical Pharmacy Technician II:
  • 3-month Production average should meet or exceed 7 Prod steps/hour (100%)
  • 3-month Quality average should meet or exceed 96%
  • No PIPs or CAPs in prior 3 months for any reason
  • Completed all training checklists for department and demonstrated proficiency with position processes and PG clients
  • Participate in the weekend rotation process
  • Proficient with all position processes and team clients' expectations
  • Demonstrate ability to create training documents/presentations

Clinical Pharmacy Technician III:
  • 3-month Production average should meet or exceed 8.3 Prod steps/hour (118%)
  • 6-month Quality average should meet or exceed 98%
  • No PIPs or CAPs in prior 6 months for any reason
  • Effectively manage PANF reports, daily assignments, LOI, and Outreach calls
  • Demonstrate problem solving and ability to work cross-functionally for new projects and HQs
  • Demonstrate ability to train other PACs on HQ/processes and provide constructive feedback
  • Effectively assist with monthly audits when asked
  • Correctly approve PAC I-II Overdollar requests, as well as own
  • Participate in special projects, lead committees, or pilot new processes/improvements

Clinical Pharmacy Technician IV:
  • 3-month Production average should meet or exceed 9.7 Prod steps/hour (138%)
  • Effectively regularly assist with monthly audits and calibration calls
  • Cross trained on RxAdvance process/system and capable of filling in at any time
  • Participate in the weekend rotation and weekend leadership on-call process
  • Effectively train and mentor new hires from day 1 overview to end of 120 days, including weekly training meetings
  • Participate in the Customer Advocate Program
  • Effectively cover the floor without a supervisor, including for escalated calls or emails

Requirements
Skills and Experience
  • Ability to work in a fast-paced and high-functioning environment and meet deadlines while managing multiple high priorities.
  • Moderate-to-high level of medication and disease state knowledge within the scope of pharmacy practice
  • Personal computer literacy and high competency in using Microsoft Word, Excel, Adobe, etc.
  • Strong organizational skills with attention to detail
  • Strong oral and written communication skills
  • Excellent critical thinking capabilities with a strong attention to detail
  • Exceptional customer service skills
  • Minimum one-year prior authorization experience preferred
  • Health plan or Pharmacy Benefit Manager experience preferred

Education
  • High school diploma or equivalent
  • Active Certified Pharmacy Technician (State or National License)

Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

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