Coordinator, Prior Authorization

Job Summary

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.

Responsibilities

• Verifies insurance eligibility, benefits, and network status.
• Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
• Obtains pre-authorization and referrals from insurance companies for diagnostic testing, procedures, treatments, and medication as ordered by healthcare providers.
• Follows up on delayed or denied authorization requests and escalates for resolution.
• Creates detailed documentation and maintains/stores the authorization paper trail.
• Depending on the area of assignment, coordinates schedules for surgery and surgical procedures, testing and other services as requested and in accordance with departmental policy and procedures.
• Effectively work with other team members in order to complete tasks efficiently and collaboratively.
• Participates in quality improvement projects by developing data collection tools, analyzing, compiling and reporting data, and providing input to the QI process.

Qualifications

• Three years of experience working in an office or clinic, with an emphasis in scheduling, or a related area, or equivalency (one year of education can be substituted for two years of related work experience).
• Demonstrated effective communication, human relations, and computer skills required.
• Some areas of assignment require completion of a medical terminology course, certification related to specific area, and/or additional years of related experience.

Benefits

The University of Utah offers a comprehensive benefits package including:

• Excellent health care coverage at affordable rates (see the Summary Comparison for more information)
• 14.2% retirement contributions
• Generous paid leave time
• 11 paid Holidays per year
• 50% tuition reduction for employees, spouses, and dependent children
• Flex spending accounts
• University provided basic employee life insurance coverage equal to a salary of up to $25,000
• Variety of elective insurance coverage, including life insurance, short and long-term disability, accidental death & dismemberment, accident, critical illness, hospital indemnity, and pet.
• Free transit on most UTA services
• Employee discounts on a variety of products and services, including cell phones & plans, entertainment, health and fitness, restaurants, retail, and travel
• Professional development opportunities

Work Environment

Nearly Continuously: Office environment. Physical Requirements and Level of Frequency that may be required: Nearly Continuously: Sitting, hearing, listening, talking. Often: Repetitive hand motion (such as typing), walking. Seldom: Bending, reaching overhead.

Department Specific Preferences

• Previous experience with medical insurance, prior-authorization and ICD/CPT Coding experience preferred.

Special Instructions

Requisition Number: PRN45259B
Full Time or Part Time? Full Time
Work Schedule Summary: Monday through Friday scheduled shifts from 8:00 am to 5:00 pm or 9:00 am to 6:00 pm. Assigned shift as needed based on operational needs.
Regular and punctual attendance is required.
Department: 00848 - Pediatric Administration
Location: Campus
Pay Rate Range: $14.42 - $21.29
Close Date: 9/3/2026
Open Until Filled
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