• 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.

• 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.

• Full-time (40 hours in a professional office setting.
• Location: Draper, Utah
• Salary Range Depending on Experience: $35.360 - $45,760.

• High school or equivalent, preference given to those with associate degree or higher.
• Utilization review: 1 year (preferred but not required)

• Health Insurance
• Dental Insurance
• Vision Insurance
• Paid Time-Off

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