Insurance Receivables Specialist I

Title: Insurance Receivables Specialist I

Location:Salt Lake City, UT

Reqid: 79456

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

Multi-lingual Candidates Welcomed

To inquire about this posting, email: careers@hsc.utah.edu

EEO Statement

University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.

All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

 

Requisition Number 79456
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule Monday-Friday, 8am-4:30pm
Clinical/Non-Clinical Status Non-Clinical
Location Name Business Services Building
Workplace Set Up Hybrid
City SALT LAKE CITY
State UT
Department COR ISC 10D SPECIALTY RECVABLE
Category Finance/Accounting
Workplace Set Up Hybrid