Payer 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

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.