Utilization Review Technician jobs in Utah
Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Utilization Review Technician jobs
Behavioral Health Utilization Review/Management Specialist
- Threshold Billing Solutions
-
Draper, UT
FULL_TIME
-
Utilization Review (UR) SpecialistPosition Summary: Threshold Billing Solutions provides claims processing and utilization management services for behavioral treatment facilities. The UR Specialist is responsible for collecting clinical information and communicating with MCO’s in a timely manner in order to advocate for the highest level of care that is supported by the client’s acuity, and in compliance with procedures as defined by Threshold Billing Solutions. This position is responsible for communicating with insurance companies/payor sources as an advocate for the client’s served including the treatment facility staff assigned. Essential functions include those listed below:Essential Job Functions:
- Establish and maintain positive and frequent effective communication with insurance carriers.
- Read and understand client’s clinical chart narrative and respective case notes and be able to disseminate client needs and professional/clinical recommendations and communicate this information effectively.
- Manage clinical documentation related to initial treatment admissions, concurrent reviews, appeals for the purpose of obtaining authorization of the client’s appropriate level of care.
- Obtain and communicate level of care and authorizations and properly enter information into Threshold’s data systems.
- Complete and submit quality authorization/review documentation verbally, and/or via fax/email.
- Serve as an advocate for clients in relation to their care and their insurance benefits.
- Responsible for tracking current & ongoing authorization needs for all levels of care.
- Responsible for detailed system documentation of authorizations in a timely and accurate manner.
- Communicating with other departments to obtain or provide needed information on client accounts.
- All other related duties as assigned.
Essential Qualifications:- Knowledge of CPT, ICD 10 coding, ASAM, and EMR/CDS Systems is preferred but not required.
- Collaboration, negotiation, and assertiveness skills.
- Must be organized, detail oriented and have the ability to focus on several job-specific tasks with several potential surrounding distractions and patient traffic.
- Excellent verbal and written communication skills.
- Ability to perform complex tasks and to prioritize multiple projects.
- Strong analytical and critical thinking skills and the ability to analyze, summarize, and effectively present clinical data.
- Ability to work collaboratively with others in a manner that is pleasant and professional.
- Ability to exercise good judgment and discretion.
- Ability to operate a computer and complete documents in Microsoft and Google formats.
- Ability to complete work tasks within scheduled work hours.
- Excellent verbal and written communication skills.
- Requires the ability to work under stress and deadlines.
Other Job Details/Compensation- Full-time (40 hours in a professional office setting.
- Location: Draper, Utah
- Salary Range Depending on Experience: $35.360 - $45,760.
Education/Experience:- High school or equivalent, preference given to those with associate degree or higher.
- Utilization review: 1 year (preferred but not required)
Benefits:- Health Insurance
- Dental Insurance
- Vision Insurance
- Paid Time-Off
- 1 Month Ago
Field Representative / Insurance Inspector - Experienced Preferred
- Sentinel Underwriting Review, Inc.
-
Saint George, UT
PART_TIME
- Sentinel Underwriting Review is a full service National field service company. We have a part part-time position for experienced person who has a background in the Real Estate, Construction, Field Ser...
- 18 Days Ago
Pharmacy Technician
- CVS Pharmacy Technician for CVS Pharmacy
-
West Valley, UT
PART_TIME,FULL_TIME
- The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will wo...
- 18 Days Ago
Immigration Judge
- US Executive Office for Immigration Review
-
Salt Lake, UT
FULL_TIME
- Duties This position is in the Executive Office for Immigration Review (EOIR), Office of the Chief Immigration Judge. EOIR seeks highly-qualified individuals to join our team of expert professionals w...
- 2 Months Ago
Immigration Judge
- US Executive Office for Immigration Review
-
Salt Lake, UT
FULL_TIME
- Duties This position is in the Executive Office for Immigration Review (EOIR), Office of the Chief Immigration Judge. EOIR seeks highly-qualified individuals to join our team of expert professionals w...
- 2 Months Ago
Automotive technician
- Kia Veterans Technician Apprenticeship Program (VTAP)
-
American Fork, UT
FULL_TIME
- Kia Retailers are offering skilled and experienced military Veterans with the opportunity to begin an inspiring career as a Kia Certified Service Technician. To support this Kia Retailer initiative, K...
- 16 Days Ago
Utilization Review Technician jobs at Popular Companies
Senior Technical Expert, Avionics
- American Honda Motor Co.
-
Greensboro, NC
- Job Purpose You will help shape the future technology of the HondaJet by providing guidance on compliance and FAA regula...
- 6/9/2024 12:00:00 AM
Technical/Professional - Technician
- First Tek, Inc.
-
Manassas, VA
- Job Description: Candidates must be local to the Manassas, VA area as position is an onsite position. Work, diagnose and...
- 6/9/2024 12:00:00 AM
Prototype Motorcycle Technical Specialist
- Technical Professionals Group
-
Stanfield, AZ
- Job Description Job Description CTR is seeking Technical Specialist with experience and knowledge of lab based testing e...
- 6/8/2024 12:00:00 AM
Aerodynamics Technical Expert- Senior
- Modern Technology Solutions, Inc.
-
Dayton, OH
- Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking an Aerodynamics Technical Expert in Dayton, OH. Why...
- 6/8/2024 12:00:00 AM
Aerodynamics Technical Expert- Senior
- Modern Technology Solutions, Inc.
-
Jamestown, OH
- Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking an Aerodynamics Technical Expert in Dayton, OH. Why...
- 6/8/2024 12:00:00 AM
Aerodynamics Technical Expert- Senior
- Modern Technology Solutions, Inc.
-
Saint Paris, OH
- Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking an Aerodynamics Technical Expert in Dayton, OH. Why...
- 6/8/2024 12:00:00 AM
Technical Expert-Security
- Mobile Communications America, Inc.
-
Austin, TX
- MCA, your trusted advisor for wireless communications, data, and security, is seeking an experienced Technical Expert Te...
- 6/7/2024 12:00:00 AM
Technical Expert, Electrical
- ASARCO LLC
-
Marana, AZ
- Technical Expert, Electrical Employee Type: Salary City: Marana State/Territory: US-AZ Positions Open: 1 Site Name: Silv...
- 6/7/2024 12:00:00 AM
About Utah
Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau.
Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$60,121 to $83,884
Most Popular Cities in Utah for Utilization Review Technician Jobs
What does a Utilization Review Technician do?
Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020