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Preauthorization Specialist

Preauthorization Specialist

ALLEVIO CARE, LLCBountiful, UT, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

About Allevio

At Allevio, we’re on a mission to empower healthcare practice owners by removing the operational and administrative roadblocks that can get in the way of exceptional patient care. We specialize in streamlining core functions—like billing, compliance, patient management, and talent recruitment so providers can stay focused on what matters most : their patients.

We know running a medical practice comes with unique challenges, and that’s why we offer tailored solutions that drive efficiency, support growth, and ensure regulatory compliance. At Allevio, you’ll join a team that’s passionate about helping clinics thrive—today and for the long haul.

Position Overview

The Prior Authorization Specialist is responsible for obtaining timely and accurate insurance authorizations for surgeries and specialist procedures. This role helps ensure smooth scheduling, minimize insurance denials, and support the overall flow of surgical care.

Key Responsibilities :

  • Submit and track prior authorization requests for surgeries and procedures across multiple clinic locations.
  • Verify insurance eligibility and benefits for scheduled services.
  • Contact insurance companies to gather required information, provide documentation, and appeal denials as needed.
  • Collaborate with clinic representatives to verify information, ensure documentation is accurate, and report back when the prior authorization process is complete or if additional information is required.
  • Enter and update authorization status and details in the EHR (AdvancedMD) and internal trackers.
  • Notify patients and clinic staff regarding authorization status or delays.
  • Communicate with the surgery coordinator that the insurance verification form is complete.
  • Report daily production and authorization activity to leadership.
  • Perform other duties as assigned by the department leader.

Qualifications :

  • 1+ years of prior authorization or clinical experience.
  • Working knowledge of insurance requirements (commercial, Medicaid, Medicare).
  • Excellent communication, organization, and attention to detail.
  • Experience working with Electronic Health Records (AdvancedMD experience is a plus).
  • Comfortable collaborating with remote and international team members.
  • What You’ll Bring

    Strong collaboration skills with the ability to work effectively across teams and functions

    Proven initiative and a proactive mindset— you're someone who takes ownership, problem solves, works with a sense of urgency and drives projects forward

    Adaptability in fast-paced, evolving environments; comfortable navigating ambiguity and change

    Alignment with our core values which are; Care, Accountability, Respect, Integrity, Nurturing & Grit.

    A positive attitude and team-first mentality that contributes to a supportive and inclusive workplace culture

    Benefits & Perks

    Medical, dental, and vision insurance

    401(k) with company match

    Paid time off (PTO) and company holidays

    Equal Opportunity Employer

    Allevio is proud to be an Equal Opportunity Employer. We are committed to building a diverse and inclusive team where everyone belongs. We welcome applicants of all backgrounds and identities and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, gender identity, sexual orientation, veteran status, or any other protected characteristic. We believe diverse perspectives strengthen our company and help us better serve the practices and patients we support.

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    Specialist • Bountiful, UT, US

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