Manage incoming and outgoing calls to healthcare providers to discuss authorization status, request additional clinical documentation, or clarify submission details. * Provide clear, professional ...
Manage incoming and outgoing calls to healthcare providers to discuss authorization status, request additional clinical documentation, or clarify submission details. * Provide clear, professional ...
Registered Nurse - Prior Authorization
Salt Lake City, UT · On-site
$28.27 - $42.48/hr
Manage incoming and outgoing calls to healthcare providers to discuss authorization status, request additional clinical documentation, or clarify submission details. * Provide clear, professional ...
Registered Nurse - Prior Authorization
Salt Lake City, UT · On-site
$28.27 - $42.48/hr
Manage incoming and outgoing calls to healthcare providers to discuss authorization status, request additional clinical documentation, or clarify submission details. * Provide clear, professional ...
Prior Authorization Representative I
Salt Lake City, UT · On-site
$18.85 - $25.61/hr
Time management * Medical terminology * Medical coding * Accuracy * Productivity Qualifications Required * Demonstrated experience in a healthcare revenue cycle role utilizing authorization tools.
Prior Authorization Representative I
Salt Lake City, UT · On-site
$18.85 - $25.61/hr
Time management * Medical terminology * Medical coding * Accuracy * Productivity Qualifications Required * Demonstrated experience in a healthcare revenue cycle role utilizing authorization tools.
Intake Specialist - Prior Authorization
Midvale, UT · On-site
$20 - $23/hr
Collaborate closely with the inside sales team to manage patient orders and ensure a seamless and ... Ensure timely submission and follow-up on prior authorization requests to avoid delays in patient ...
Intake Specialist - Prior Authorization
Midvale, UT · On-site
$20 - $23/hr
Collaborate closely with the inside sales team to manage patient orders and ensure a seamless and ... Ensure timely submission and follow-up on prior authorization requests to avoid delays in patient ...
Lead, Trade Compliance
Salt Lake City, UT · On-site
Authorization management oversight which requires quality control review as well as process notifications to be provided to Directorate of Defense Trade Controls (DDTC) per regulatory requirements (e ...
Lead, Trade Compliance
Salt Lake City, UT · On-site
Authorization management oversight which requires quality control review as well as process notifications to be provided to Directorate of Defense Trade Controls (DDTC) per regulatory requirements (e ...
Medical Receptionist-PT-Family Medicine-Roy
Roy, UT · On-site
$15.75 - $19.25/hr
Complete referrals and assist with prior authorizations. Manage incoming and outgoing correspondence, including faxes and electronic messages. Participcate in clinical VBC initiatives. All other ...
Quick apply
Medical Receptionist-PT-Family Medicine-Roy
Roy, UT · On-site
$15.75 - $19.25/hr
Complete referrals and assist with prior authorizations. Manage incoming and outgoing correspondence, including faxes and electronic messages. Participcate in clinical VBC initiatives. All other ...
As part of the Conservice family, the nation's leading utility management provider, we're backed by ... Monitor and track vendor authorization forms * Direct client contact * Retrieve bills from utility ...
As part of the Conservice family, the nation's leading utility management provider, we're backed by ... Monitor and track vendor authorization forms * Direct client contact * Retrieve bills from utility ...
Lead, Trade Compliance
Salt Lake City, UT · On-site
$100K - $186K/yr
Authorization management oversight which requires quality control review as well as process notifications to be provided to Directorate of Defense Trade Controls (DDTC) per regulatory requirements (e ...
Lead, Trade Compliance
Salt Lake City, UT · On-site
$100K - $186K/yr
Authorization management oversight which requires quality control review as well as process notifications to be provided to Directorate of Defense Trade Controls (DDTC) per regulatory requirements (e ...
Medical Receptionist-PT-Family Medicine-Roy
Roy, UT · On-site
$15.75 - $19.25/hr
Complete referrals and assist with prior authorizations. Manage incoming and outgoing correspondence, including faxes and electronic messages. Participcate in clinical VBC initiatives. All other ...
Medical Receptionist-PT-Family Medicine-Roy
Roy, UT · On-site
$15.75 - $19.25/hr
Complete referrals and assist with prior authorizations. Manage incoming and outgoing correspondence, including faxes and electronic messages. Participcate in clinical VBC initiatives. All other ...
COPARS Store Manager
UT · On-site
$95K/yr
Serve as the primary on-site point of contact with the Government Contracting Officer's Representative (COR), Vehicle Management personnel, and other authorized Government representatives. * Ensure ...
COPARS Store Manager
UT · On-site
$95K/yr
Serve as the primary on-site point of contact with the Government Contracting Officer's Representative (COR), Vehicle Management personnel, and other authorized Government representatives. * Ensure ...
Serve as the primary on-site point of contact with the Government Contracting Officer's Representative (COR), Vehicle Management personnel, and other authorized Government representatives. * Ensure ...
Quick apply
Serve as the primary on-site point of contact with the Government Contracting Officer's Representative (COR), Vehicle Management personnel, and other authorized Government representatives. * Ensure ...
Serve as the primary on-site point of contact with the Government Contracting Officer's Representative (COR), Vehicle Management personnel, and other authorized Government representatives. * Ensure ...
Quick apply
Serve as the primary on-site point of contact with the Government Contracting Officer's Representative (COR), Vehicle Management personnel, and other authorized Government representatives. * Ensure ...
Serve as the primary on-site point of contact with the Government Contracting Officer's Representative (COR), Vehicle Management personnel, and other authorized Government representatives. * Ensure ...
Serve as the primary on-site point of contact with the Government Contracting Officer's Representative (COR), Vehicle Management personnel, and other authorized Government representatives. * Ensure ...
Medical Receptionist-PT-Family Medicine-Roy
Roy, UT · On-site
$15.75 - $19.25/hr
Complete referrals and assist with prior authorizations. Manage incoming and outgoing correspondence, including faxes and electronic messages. Participcate in clinical VBC initiatives. All other ...
Medical Receptionist-PT-Family Medicine-Roy
Roy, UT · On-site
$15.75 - $19.25/hr
Complete referrals and assist with prior authorizations. Manage incoming and outgoing correspondence, including faxes and electronic messages. Participcate in clinical VBC initiatives. All other ...
Service Advisor
Tremonton, UT · On-site
Secure work authorization and deposits/POs per policy before work proceeds. Work Order, Estimating & Workflow Management Create and manage work orders through all workflow stages in Protractor ...
Service Advisor
Tremonton, UT · On-site
Secure work authorization and deposits/POs per policy before work proceeds. Work Order, Estimating & Workflow Management Create and manage work orders through all workflow stages in Protractor ...
Experience managing authorization/prior authorization processes * Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments * Experience leading teams that support patient ...
Experience managing authorization/prior authorization processes * Familiarity with specialty pharmacy, healthcare, or pharmacy benefit environments * Experience leading teams that support patient ...
... Manager Salt Lake City, UT (Hybrid) Position Summary Thales is looking for a Configuration ... Person as defined in applicable law, or otherwise authorized or eligible for authorization, to ...
... Manager Salt Lake City, UT (Hybrid) Position Summary Thales is looking for a Configuration ... Person as defined in applicable law, or otherwise authorized or eligible for authorization, to ...
... Manager Salt Lake City, UT (Hybrid) Position Summary Thales is looking for a Configuration ... Person as defined in applicable law, or otherwise authorized or eligible for authorization, to ...
... Manager Salt Lake City, UT (Hybrid) Position Summary Thales is looking for a Configuration ... Person as defined in applicable law, or otherwise authorized or eligible for authorization, to ...
... authorization in the US Effective Communication Skills: Ability to communicate ideas clearly and concisely. Organizational Skills: Capable of managing multiple tasks efficiently. Life, Health ...
New
... authorization in the US Effective Communication Skills: Ability to communicate ideas clearly and concisely. Organizational Skills: Capable of managing multiple tasks efficiently. Life, Health ...
New
Authorization Manager information
How does an authorization manager typically collaborate with other departments to ensure efficient access control processes?
As an Authorization Manager, you will regularly partner with IT, HR, and compliance teams to develop and maintain access control policies. This collaboration ensures that only authorized personnel have access to sensitive systems and data, aligning with organizational security standards. You may also participate in cross-functional meetings to review user access requests and support audits, making strong communication and stakeholder management skills essential for the role.
What are the key skills and qualifications needed to thrive as an authorization manager, and why are they important?
To thrive as an Authorization Manager, you need expertise in healthcare regulations, insurance processes, and prior authorization procedures, usually supported by a degree in healthcare administration or a related field. Familiarity with medical billing software, electronic health records (EHRs), and insurance verification systems is essential. Strong organizational skills, attention to detail, and effective communication abilities set top performers apart in this role. These skills ensure accurate and timely approvals, minimize claim denials, and maintain smooth administrative operations in healthcare organizations.
What is the difference between Authorization Manager vs Credentialing Specialist?
| Aspect | Authorization Manager | Credentialing Specialist |
|---|---|---|
| Required Credentials | Bachelor's degree, healthcare administration or related certifications | Healthcare-related certifications, licensing, and credentials |
| Work Environment | Healthcare organizations, insurance companies, hospitals | Hospitals, clinics, healthcare networks |
| Employer & Industry Usage | Used in healthcare management to oversee authorization processes | Used to verify provider credentials and maintain compliance |
| Common Search & Comparison | Often compared for roles involving patient access and insurance approvals | Compared for roles focused on provider credentialing and compliance |
The Authorization Manager primarily oversees the approval process for patient services and insurance claims, ensuring compliance and efficiency. In contrast, the Credentialing Specialist focuses on verifying healthcare providers' credentials and maintaining licensing standards. Both roles are essential in healthcare operations but serve different functions related to authorization and credential verification.
What does an authorization manager do?
An Authorization Manager is responsible for overseeing and managing the process of granting access or permissions to information systems, data, or resources within an organization. They ensure that only authorized individuals have access to sensitive information, often by implementing and maintaining access control policies. Their duties may include reviewing access requests, monitoring compliance with security policies, and coordinating with IT and security teams. Authorization Managers play a key role in protecting an organization's data and ensuring regulatory requirements are met.
What are the most commonly searched types of Authorization jobs in Utah?
The most popular types of Authorization jobs in Utah are:
What are popular job titles related to Authorization Manager jobs in Utah?
For Authorization Manager jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Authorization Manager jobs in Utah look for?
The top searched job categories for Authorization Manager jobs in Utah are:
What cities in Utah are hiring for Authorization Manager jobs?
Cities in Utah with the most Authorization Manager job openings:
Registered Nurse - Prior Authorization
Salt Lake City, UT • Hybrid
Full-time
Posted 14 days ago
Job description
Registered Nurses in this position are responsible for clinical criteria reviews to help determine medical necessity. You will work indirectly with a variety of stakeholders, including the members. Evaluation and implementation of state rules, Medicaid policies, and CMS regulations.
*YOU MUST HAVE AN ACTIVE REGISTERED NURSE LICENSURE WITH THE STATE OF UTAH*
Key responsibilities and day to day responsibilities of this position:
Clinical Review & Decision Support:
- Conduct comprehensive clinical reviews of prior authorization submissions against evidence-based clinical criteria.
- Assess medical necessity and appropriateness of requested services, medications, or equipment.
Provider Communication:
- Manage incoming and outgoing calls to healthcare providers to discuss authorization status, request additional clinical documentation, or clarify submission details.
- Provide clear, professional guidance to provider offices regarding the PA process.
Regulatory Compliance:
- Ensure all reviews and determinations strictly adhere to CMS (Centers for Medicare & Medicaid Services) regulations and other relevant governing bodies.
- Review and interpret State and Federal guidelines to ensure organizational policies remain in full compliance with evolving laws.
Team Collaboration:
- Collaborate with Medical Directors, peers, and internal departments to review complex cases.
- Participate in team meetings to calibrate on clinical criteria application and process improvements.
Documentation & Quality Assurance:
- Maintain meticulous records of all reviews, communications, and determinations within the tracking system.
- Ensure all turnaround times (TAT) are met in accordance with regulatory requirements.
Supplemental Information:
- This position may currently be a hybrid of both in-office and remote work days. Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time, and for any reason.
- Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to within 30 days of their start date.
- Risks which require the use of special safety precautions and/or equipment, e.g., working around operating machines, working with contagious diseases or hazardous chemicals, etc
- Work requires physical exertion. May require the ability to stand; walk over rough surfaces; bend, crouch, stoop, stretch, reach, lift moderately heavy items (up to 50 lbs.) in a recurring manner and/or for long periods of time.