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Uintah Basin Healthcare current

Pre-Authorization Clerk - Full Time

Roosevelt, UT, United States

Full-time

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Job details

Job type: Full-time
Posting language: English
Posted: Oct 19, 2026

Original job description

Job Summary

The prior authorization clerk is responsible for ensuring that payers are prepared to reimburse Uintah Basin Healthcare for scheduled services in accordance with the payer-provider contract. The clerk contacts payers to request service authorization and may collect financial and/or demographic information from patients as needed. Identifies prearranged payment plans and follows instructions as outlined by the Patient Access Manager. Requests and collects self-pay balances per organizational guidelines.

Duties and Responsibilities

Demonstrates Competency in the Following Areas:
Verifies patient's insurance and benefits information.
Obtains prior authorizations from third-party payers in accordance with payer requirements.
Contacts patients to gather demographic and insurance information as needed, and updates patient information within the EMR as necessary.
Works with other departments to gather the clinical information required by the payer to authorize services.
Maintains accurate records of authorizations with EMR.
Refers accounts to financial counseling as needed if authorization is not obtained.
Works with business office staff to support appeal efforts for authorization-related denials.
Complies with HIPAA regulations, as well as the organization's policies and procedures regarding patient privacy and confidentiality.
Maintains a professional tone at all times when communicating with patients and payer representatives.
Performs all other duties as assigned by departmental leaders.
Accurately and thoroughly collects, analyzes, and records demographic, insurance, financial, and clinical data in a computer system. Ensures the information source is appropriate.
Updates and edits information in the computer system, ensuring that all fields are populated correctly and appropriately.
Obtains information and completes Medicare Secondary Payer Questionnaire and other payer-specific documents as required.
Posts payments within the billing system.
Ensures that all monies collected are secured or turned over to appropriate associates.
Refers patients to Financial Counselors for in-depth financial counseling.
Ability to perform a variety of tasks, often changing assignments on short notice.
Must be adept at multi-tasking.
Readily identifies work that needs to be performed and completes it without needing to be told.

Professional Requirements

Ensures that appearance and personal conduct are professional at all times.
Excellent attendance record.
Wears appropriate clothing for job functions. Wears ID badge.
Works at maintaining a good rapport and a cooperative working relationship with physicians, administration, and staff.
Represents the organization in a positive and professional manner in the community.
Maintains patient confidentiality at all times.
Complies with all organizational policies regarding ethical business practices.
Exceptional organization and time management skills.

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