What are the responsibilities and job description for the Prior Authorization Specialists - Hybrid or remote – Sandy, UT 84070 position at RemX | The Workforce Experts?
My client, a leader patient-centered infusion and specialty-care platforms company is hiring Prior Authorization Specialists to work in Salt Lake City .
This position manages prior authorizations to support timely patient care. The specialist collaborates with providers, clinical teams, PACs, and sales representatives while managing 30 active authorizations. They track case progress, meet deadlines, and help ensure operational efficiency and patient satisfaction.
Pay: $24-$28, depending on experience
Type: Temp to hire
Start date: TBD Oct – Nov 2026
Location: Sandy, UT 84070 - hybrid or remote after 6 months (or sooner depends on performance).
Schedule: Monday-Friday 9AM to 5PM
Training: 2 weeks onsite. The first week is classroom, the second week is shadowing.
Dress Code: Business casual, nice jeans and top/blouse
Benefits: Benefits through Remx and full package of benefits after converted to perm position.
Responsibilities
- Processes prior authorizations accurately and efficiently, including reviewing step therapy, minimum authorization requirements, and payer-preferred medications.
- Manages appeals and denials, escalating cases when necessary, and following appropriate payer protocols.
- Analyzes insurance policies for each case and communicates with internal teams or providers to obtain needed documentation
- Verifies insurance benefits and determines in-network or out-of-network status across various payers and states
- Evaluates medical and pharmacy benefits to determine patient eligibility for treatment.
- Maintains clear, professional communication with providers, patients, internal teams, and stakeholders.
- Accurately documents all case-related conversations and updates within Salesforce within required timeframes.
- Collaborate with internal team members to gather or clarify case information.
- Investigates and resolves complex cases
Requirements
- Minimum 2-3 years of experience as a Medical Assistant (MA), with direct prior authorization
- Knowledge of commercial and Medicare Advantage policies, including Local Coverage Determinations (LCDs).
- High School diploma or equivalent required.
- Proficiency with EMRs, PMS and prior authorization systems
- Strong experience working with systems like Salesforce, WeInfuse, and AMD.
- Excellent communication and customer service skills
- Highly organized and multitasking skills
Salary : $24 - $27