Remote Payer Authorization QA Analyst

Utah; Salt Lake City, Northern (UT, KY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

University of Utah Health seeks a Quality Assurance Specialist to ensure payer authorizations align with internal policies and payer guidelines. The role focuses on reviewing outcomes, trending quality metrics, and supporting the department with process improvements.

Ideal candidates bring 3+ years in healthcare finance and 2+ years in hospital authorizations, with strong communication and analytical skills. This is a full-time, day-shift position based in Salt Lake City, UT.

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 ICD/CPT coding knowledge or certification.

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

Quality assurance

Payer policies

Authorization procedures

Analytical skills

Communication

Team collaboration

Multilingual

Job description

University of Utah Health seeks a Quality Assurance Specialist to ensure payer authorizations align with internal policies and payer guidelines. The role focuses on reviewing outcomes, trending quality metrics, and supporting the department with process improvements.

Ideal candidates bring 3+ years in healthcare finance and 2+ years in hospital authorizations, with strong communication and analytical skills. This is a full-time, day-shift position based in Salt Lake City, UT.