Authorization Specialist at Myriad Genetics

Salt Lake City, Utah, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Sep, 26

Salary

48900.0

Posted On

04 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Prior Authorization, Medical Billing, ICD-10, CPT Coding, HCPCS Coding, Customer Service, Time Management, HIPAA Compliance, CLIA Regulations, Problem Solving, Multitasking, Communication Skills, Organizational Skills, Appeals Filing, Medical Documentation

Industry

Biotechnology Research

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 culture Qualifications * High school diploma or GED equivalent required * 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 experience Physical & 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. Ready to transform the future of patient care through the power of genetics? For more than 30 years, Myriad Genetics has led the way in precision medicine by delivering important insights to help people make informed health decisions. As a leading molecular diagnostic testing and precision medicine company, we are dedicated to advancing health and well-being for all. Our innovative genetic tests are used across specialties including oncology, women’s health, and mental health, empowering clinicians to personalize treatment and help their patients take proactive steps toward better outcomes. What inspires us – and you – is simple: Every test, every insight, and every patient story emphasizes our commitment to improving lives through science, innovation, and care. you’re ready to help shape the future of medicine. Your work will have meaningful impact, and your dedication can change lives. Learn more at https://www.myriad.com [https://www.myriad.com/] and follow Myriad Genetics on LinkedIn [https://www.linkedin.com/company/myriad-genetics]. We are an equal opportunity employer and place high value on inclusion and belonging. We prohibit discrimination and harassment on the basis of any protected characteristic, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. In accordance with applicable law, we make reasonable accommodations for applicants’ and employees’ religious practices and beliefs, as well as any mental health or physical disability needs. If you need assistance submitting your application due to a disability, you can request an accommodation by contacting recruiting@myriad.com [recruiting@myriad.com]. Please answer all questions completely. Please do not provide any information not specifically requested on this Employment Application form. To get the best candidate experience, please consider applying for a maximum of 3 roles within 12 months to ensure you are not duplicating efforts. Myriad Genetics will never request payment, solicit personal financial information, or conduct interviews via informal channels (e.g., personal email, text messages). All opportunity-related communication with Myriad Genetics will come from our employees, whose e-mail addresses end with "@myriad.com." At Myriad, our teams are united by a shared mission: to advance health and wellbeing for all. If you’re ready to make a meaningful difference in patients’ lives through cutting-edge molecular diagnostics and genetic insights, we want to hear from you. Whether developing new technologies, supporting clinicians and patients, working in our laboratories, or supporting our brand and products, our teammates bring expertise, passion, collaboration, and drive every day. Since 1991, millions of patients have benefited from our tests. As a leading molecular diagnostic testing and precision medicine company, we are dedicated to advancing health and well-being for all. Today, we continue to expand our reach by impacting patient care, helping people make informed health decisions, and empowering clinicians to personalize treatment and help their patients take proactive steps toward better outcomes. If you’re inspired by science, motivated by purpose, and ready to make a difference, you belong at Myriad Genetics.

Responsibilities

The Authorization Specialist is responsible for verifying patient insurance coverage and submitting prior authorizations via payer portals. They must manage denials, file appeals, and collaborate across departments to ensure timely authorization approvals.