Non-Clinical – Finance/Accounting/Claims Processor
Job Detail
Shift: Day 5×8-Hour (08:00 – 17:00)
Description:
Job Title: Claims & Benefits Resolution Specialist – Authorizations (Non-Clinical)
Location: West Valley City, UT – 4255 Lake Park Blvd, West Valley City, UT 84120
Schedule: Hybrid (Training Onsite; Remote with 1 onsite day/month) | Day Shift | 3-Month Assignment | Utah-based candidates only
Requirements:
2–3 years of experience in healthcare revenue cycle, claims processing, eligibility, benefits, or authorizations
Experience obtaining authorizations for home health patients
Proficiency in Epic and experience with payer portals or RCM systems
Strong understanding of payer rules, reimbursement methodologies, and claims adjudication
Experience auditing accounts and resolving complex claim discrepancies across multiple systems
Ability to verify eligibility, benefits, and authorization requirements accurately
Ability to work independently, troubleshoot root-cause issues, and drive claims to resolution
Ability to complete onsite training and attend 1 required onsite day per month
Preferred Requirements:
Experience in a Central Business Office or shared services model
Experience supporting home health or hospice service lines
Experience working with Utah-based or multi-state payer networks
Experience identifying claim trends and contributing to process improvement discussions
Summary / Duties:
This non-clinical role supports the Central Business Office within Revenue Cycle Management, focusing on eligibility, benefits, and authorization activities for home health patients. The specialist performs comprehensive audits across the claims lifecycle, verifies coverage and authorization requirements, and resolves complex discrepancies impacting reimbursement. Responsibilities include obtaining authorizations in Epic, conducting payer follow-up on delayed or denied claims, validating documentation, and coordinating with clinical and internal teams to ensure accurate claim determinations. This is a hands-on resolution role requiring independent problem-solving and root-cause analysis rather than basic claim processing. The position begins with onsite training in West Valley City and transitions to remote work with one required onsite day per month.