Authorization Specialist

Company: Myriad Genetics
Location: Salt Lake City
Posted on: April 26, 2025

Job Description:

Responsibilities

• Verifies patient insurance coverage timely utilizing phone or online resources.
• Submit prior authorizations to insurances in timely matter via payer specific portals and vendors
• Ensures all pertinent medical documentation is accurate and present prior to authorization submission.
• Follows up with pending authorizations on a regular basis to obtain the current status or to be informed of any action needed in order to obtain the authorization approval.
• Communicates any authorization denials to the appropriate staff.
• Handles any discrepancies, errors, or omissions of authorization denials and files appeals when necessary for overturn of adverse decision.
• Participates in educational activities and attends regular staff and department meetings.
• Exhibit and manage excellent turn-around time in order to ensure timely authorizations.
• Consistently work in a positive and cooperative manner with fellow team members and management.
• Demonstrate flexibility to perform duties wherever volume deems it necessary.
• Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner.
• Document activities appropriately in process notes.
• Participates in the Quality Assurance plan.
• Complies with applicable CLIA and HIPAA regulations.
• Stay up to date with SOPS
• Complies with all company and department policies and procedures
• Contributes to a positive work and team cultureQualifications
  • 3-5 years of experience working in medical billing, health insurance or collections with demonstrated results.
  • Insurance billing experience is preferred.
  • Good problem solving and decision-making skills.
  • Excellent customer service and phone skills.
  • Excellent time management, organizational, communication, multitasking and teamwork skills.
  • Working knowledge of ICD-10, CPT and HCPCS coding (preferred but no required).
  • Ability to successfully navigate between multiple systems throughout the course of the workday this includes but is not limited to billing software, written Standard Operating Procedures and payer portals.
  • Preferred authorization experiencePhysical & Lifting Requirements
    • Lifting Requirements - light work or exerting up to 20 pounds of force frequently.
    • Physical Requirements - stationary positioning, moving, operating, ascending/descending, communicating and observing.
    • Use of equipment and tools necessary to perform essential job functions.#LI-MH1#LI-remoteRequired
      Preferred

      Job Industries

      • Other

Keywords: Myriad Genetics, Logan , Authorization Specialist, Other , Salt Lake City, Utah