Prior Authorization Coordinator

DetailsOpen Date 09/06/2024Requisition Number PRN39803BJob Title PS Coordinator, SchedulingWorking Title Prior Authorization CoordinatorJob Grade CFLSA Code NonexemptPatient Sensitive Job Code? YesStandard Hours per Week 40Full Time or Part Time? Full TimeShift DayWork Schedule SummaryMonday 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.VP Area U of U Health - AcademicsDepartment 00848 - Pediatric AdministrationLocation CampusCity Salt Lake City, UTType of Recruitment External PostingPay Rate Range $14.42-$21.29Close DateOpen Until Filled YesJob SummaryJob SummaryThe 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.The University of Utah offers a comprehensive benefits package including:

Excellent health care coverage at affordable rates

14.2% retirement contributions that vest immediately

Generous paid leave time

11 paid Holidays per year

50% tuition reduction for employee, spouse, and dependent children

Flex spending accounts

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

Additional benefits information is available atwww.hr.utah.edu/benefitsResponsibilitiesEssential Functions

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.

Work Environment and Level of Frequency typically requiredNearly Continuously: Office environment.Physical Requirements and Level of Frequency that may be requiredNearly Continuously: Sitting, hearing, listening, talking. Often: Repetitive hand motion (such as typing), walking. Seldom: Bending, reaching overhead.CommentsThe staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient’s status and provide care as described in the department’s policies and procedures manualMinimum QualificationsThree 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); and 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.This position is patient-sensitive and must fulfill all associated requirements. We protect our patients, coworkers, and community by requiring all patient-sensitive employees to be immunized according to CDC standards and hospital policy. Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.PreferencesDepartment Specific PreferencesPrevious experience with medical insurance, prior‐authorizations and ICD / CPT Coding experience preferred.Applicants will be screened according to preferences.Type Benefited StaffSpecial Instructions SummaryAdditional InformationThe University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.This position may require the successful completion of a criminal background check and/or drug screen.The University of Utah values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patients.All qualified individuals are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action ( OEO /AA). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at: https://www.utah.edu/nondiscrimination/Online reports may be submitted at oeo.utah.eduhttps://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.