Authorization/Billing Specialist

At Blue Mountain Hospital, we are committed to a culture of excellence, empowerment, accountability, and affirmative communication.

Job Title: Authorization/Billing Specialist

Location: Blanding, UT
Department: Business Office / Revenue Cycle
Employment Type: Full Time

About Blue Mountain Hospital:

Blue Mountain Hospital is committed to delivering exceptional healthcare and supporting patients through every step of their journey, including financial guidance and insurance assistance. We foster a respectful, inclusive, and team-driven work environment where employees are valued and empowered.

Position Summary:
The Authorization/Billing Specialist responsibilities will include prior authorizations, claims submission, and billing and payment posting processes, ensuring accuracy and compliance with all regulatory and payer requirements.

Key Responsibilities:

Obtain and manage prior authorizations for procedures, imaging, and other services.
Post Time-of-Service and PRC deposits
Collaborate with providers, clinical staff, and payers to ensure timely and accurate billing.
Review and resolve denials or claim rejections in a timely manner.
Maintain accurate documentation of all authorizations and billing activities.
Support process improvements and contribute to departmental goals.

Qualifications:

Two years previous experience in medical billing, prior authorizations, or revenue cycle management.
Strong understanding of insurance requirements, payer rules, and HIPAA compliance.
Excellent organizational, communication, and problem-solving skills.
Proficiency in electronic health records and billing systems (Athena experience a plus).

Benefits Include:

Competitive pay
Health, dental & vision insurance
Retirement plan with employer match
Paid time off and holidays
Ongoing training & development

General Requirements

In addition to the specific duties listed above, the Employee is required to do the following:

Any tasks, projects, or actions that are reasonably within the scope of the Employee’s position or employment, which the Employee’s supervisor, any member of BMH’s management, or BMH’s administration team—asks of the Employee. Tasks, projects, or actions are “reasonably within the scope” of the Employee’s employment or position unless the same are so far removed therefrom that no legitimate argument can be made that such tasks, projects, or actions are in any way related to BMH or the Employee’s employment or position within BMH.

Act as professionally as should normally be required in a medical organization. This shall include giving all appropriate respect and deference to licensed medical providers and behavioral health providers (hereafter jointly referred to as “Providers”). Providers include, but may not be limited to physician assistants, nurse practitioners (or similar), and Physician Assistants.

Keep all BMH business and patient information strictly confidential and to adhere to all other BMH confidentiality policies and procedures, as well as all laws affecting confidentiality.

Refrain—whatsoever—from intentionally, purposely, knowingly, or negligently engaging in any conduct, actions, or speech that may cause concern, apprehension, confusion, or annoyance on the part of any BMH patient toward BMH as an organization or any BMH employee.

Work congenially and cooperatively at all times with all other BMH employees. This includes maintaining a pleasant demeanor and attitude and executing position duties and administration’s/management’s other requests in a timely manner, diligently, and with a positive attitude. This requirement further includes refraining from personally degrading any other person or BMH employee. As part of this requirement, the Employee must refrain from engaging in gossip about any BMH employees and/or patients.

Communicate complaints about BMH, its policies, procedures, managers, administrators, and/or other employees—only to and through the appropriate BMH channels, which are limited to BMH’s management chain of command. No complaints, judgments, or degrading comments about BMH, its policies, procedures, managers, administrators, and/or other employees—should be shared with anyone other than the appropriate persons within BMH’s management chain of command who have the ability to work to remedy any related problems. Unless the Employee’s direct supervisor is part of the problem or complaint—problems and complaints should first be voiced to the Employee’s direct supervisor and upward therefrom through BMH’s internal management chain of command as appropriate and necessary. It is an absolute dereliction of this duty by the Employee if the Employee ever—directly or indirectly (in conjunction or planning with others)—makes complaints or problems publicly known to anyone other than BMH’s management team or administrative team (neither include BMH Board Members).

If applicable (having access to), check the Employee’s BMH email no less frequently than once daily.

Absolutely refrain from communicating or releasing any “Private BMH Information” to the media and/or non-BMH persons or entities—without formal

approval to do the same by BMH’s CEO. “Private BMH Information”, for purposes of this requirement, includes: (1) all information that requires confidentiality pursuant to any BMH policies or procedures; (2) all information that is protected by HIPAA or other applicable laws; (3) all information relating to BMH’s internal business workings, strategies, or plans; and (4) all information relating to any BMH employee or contractor. This requirement remains applicable and shall stand regardless of whether the information being requested is of a private or public nature—if the information sought fits any of the above listed types. Finally, this requirement remains applicable at all times, including when the Employee is off duty or away from BMH’s premises.

Culture Statement:
At Blue Mountain Hospital, we are committed to a culture of excellence, empowerment, accountability, and affirmative communication.

Value Statement:
Blue Mountain Hospital strives to exemplify values of Excellence, Integrity, Respect, Cultural Sensitivity, Compassion, Accountability, Stewardship and Collaboration.

Vision Statement:

Blue Mountain Hospital vision is to be the standard for rural hospitals.

Mission Statement:

Blue Mountain Hospital is committed to providing an atmosphere of excellence in healing, quality physician care and inspired employees.