Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

 

This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. Account portfolio may include accounts less complex in nature. This position is not responsible for providing patient care.

 

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Responsibilities

• Performs insurance follow-up and denial resolution on outstanding claims.
• Performs contract compliance on outstanding claims, ensuring timely and appropriate reimbursement based on contract terms.
• Resolves denials through CARC analysis and appeals.
• Acts as patient advocate in the resolution of balances.
• Prepares and monitors high dollar spreadsheets and/or payer escalations spreadsheets, as assigned.
• Escalates claim's issues internally to other key Depts. (including Coding, billing, Charging, Contracting, etc.

Knowledge / Skills / Abilities

• The ability to express information in a clear and understandable manner.

• Ability to take a logical approach to resolutions.

• Ability to take ownership for the quality and timeliness of work, and the ability to achieve results with little oversight.

• Ability to resolve difficult or complicated challenges.

• Attends to details and pursues quality in accomplishing tasks.

• The ability to service and resolve customer requests with the customer in mind first and foremost.

Qualifications

Qualifications

Required

• Two years of medical billing experience.

Qualifications (Preferred)

Preferred

• Understanding of medical billing terminology.
• AAHAM, or equivalency.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

• This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Color Determination, Listening, Manual Dexterity, Near Vision, Reaching, Sitting, Speaking, Standing