Authorization Quality Assurance Analyst

University of Utah Health; Salt Lake City (UT); On-site; USD 55,000 - 75,000; Full time

Job summary

University of Utah Health is seeking a quality assurance professional focused on payer authorizations, aligning with payer policies and internal procedures. The role involves ensuring accurate and timely authorization processes to support patient care.

Join a patient-centered system known for academic excellence and comprehensive services. This position is sedentary but critical, requiring attention to detail and collaboration with clinical and administrative teams.

Qualifications

• Three years of experience in a health care financial setting.
• Two years of experience in obtaining or managing hospital authorizations.
• Experience in identifying and developing quality improvement methods.
• Demonstrated authorization experience.
• Excellent written and verbal communication skills.
• Strong collaboration skills.
• Analytical skills with attention to detail.
• Time management skills.
• Knowledge of payer policies and authorization procedures

Responsibilities

• Reviews and provides feedback to department manager, supervisors, or vendor leaders on quality review outcomes.
• Monitors for quality assurance trends and shares improvement opportunities.
• Works collaboratively with supervisor and manager in supporting departmental needs.
• May provide education to internal and vendor team members, based on identified improvement opportunities.
• Maintains quality assurance outcomes documentation and trending.
• May assist with developing and writing quality forms.

Skills

Communication skills

Collaboration

Analytical skills

Time management

Payer policies knowledge

ICD/CPT coding

Job description

Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

This position is responsible for the quality assurance of payer authorizations, in alignment with payer policies and internal policies and procedures.

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Responsibilities

Essential Functions

• Reviews and provides feedback to department manager, supervisors, or vendor leaders on quality review outcomes.
• Monitors for quality assurance trends and shares improvement opportunities.
• Works collaboratively with supervisor and manager in supporting departmental needs.
• May provide education to internal and vendor team members, based on identified improvement opportunities.
• Maintains quality assurance outcomes documentation and trending.
• May assist with developing and writing quality forms.

Knowledge / Skills / Abilities

• Ability to perform the essential functions of the job as outlined above.
• Experience in identifying and developing quality improvement methods.
• Demonstrated authorization experience.
• Excellent written and verbal communication skills.
• Strong collaboration skills.
• Demonstrated analytical skills with attention to detail.
• Demonstrated time management skills.
• Knowledge of payer policies and authorization procedures

Required

Qualifications

• Three years of experience in a health care financial setting, or the equivalency.
• Two years of experience in obtaining or managing hospital authorizations, or the equivalency.

Preferred

Qualifications (Preferred)

• ICD/CPT Coding demonstrated experience or Certification.

Working Conditions and Physical Demands

• This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull, or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Listening, Sitting, Speaking