Coordinator, Prior Authorization

The University of Utah School of Medicine, located on the university campus, is a premier institution dedicated to providing outstanding medical education, patient care, and research opportunities. The Division of Pediatric Clinical Enterprise at the University of Utah is a specialized medical division that focuses on delivering comprehensive healthcare services for children. This division embodies a patient-centered approach to pediatric care and integrates cutting-edge research and clinical practice to ensure the best outcomes for young patients. As part of a respected academic medical center, the school fosters a collaborative environment that nurtures professional growth, innovation, and compassionate care.

The University of Utah offers a full-time position for the role of Scheduling and Prior Authorization Coordinator within the Pediatric Administration Department. This role is crucial in the healthcare delivery process as it involves obtaining prior authorizations for medical services, procedures, testing, and medications to ensure timely treatment and procedural scheduling. The position offers a pay rate range from $14.42 to $21.29 per hour and includes a comprehensive benefits package that features excellent healthcare coverage at affordable rates, retirement contributions, paid leave, holidays, tuition reductions, and more.

As a Scheduling and Prior Authorization Coordinator, the individual works closely with a multi-disciplinary team including physicians, nurses, clinic managers, and financial advocates to ensure that all necessary approvals are obtained before patient services are rendered. The role requires a high level of computer literacy to navigate multiple electronic systems and complete prior authorization tasks effectively. Communication and teamwork are vital components of this position, as coordination with various healthcare providers and internal teams is necessary to resolve issues and expedite the authorization process.

The Coordinator's responsibilities include verifying insurance eligibility, benefits, and network status for patients, submitting accurate medical codes and documentation, and following up on delayed or denied authorizations. The position also involves scheduling certain procedures or tests as per departmental policies. This role demands meticulous attention to detail in creating and maintaining authorization documentation and contributing to quality improvement projects by analyzing and reporting data pertinent to prior authorizations.

Work shifts are scheduled Monday through Friday from 8:00 am to 5:00 pm or 9:00 am to 6:00 pm, with assigned shifts based on operational needs. The work environment is office-based, and the physical requirements primarily involve sitting, hearing, listening, talking, repetitive hand motions such as typing, and occasional walking or bending. The University is committed to patient safety and requires that this patient-sensitive role complies with immunization standards as per CDC guidelines and hospital policies.

Candidates for the Scheduling and Prior Authorization Coordinator position should have at least three years of related office or clinical experience, preferably with a background in scheduling and medical insurance processes. A medical terminology course or related certifications are advantageous. This role is designed for individuals capable of managing complex prior authorization workflows and engaging in continuous improvement efforts within pediatric healthcare operations. The position offers an opportunity to contribute meaningfully to pediatric patient care through efficient and effective administrative support.