Insurance Receivable Specialist II
Company: University of Utah Health
Location: Salt Lake City
Posted on: May 15, 2022
_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, diversity, 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
+ Performs insurance follow-up and denial resolution on outstanding
+ Performs contract compliance on outstanding claims, ensuring
timely and appropriate reimbursement based on contract terms.
+ Performs payment compliance reviews and resolutions based on
projects focused by payer, service, entity, trend, etc., as
assigned by unit leader.
+ Ensures appropriateness of patient responsibility, as assigned by
+ Resolves clinical and/or authorization denials through CARC
analysis and appeals - including clinical documentation review and
coordination with UR and/or attending physician.
+ Acts as patient advocate in the resolution of balances.
+ Prepares and monitors high dollar spreadsheets and/or payer
escalations spreadsheets, as assigned.
+ Escalates claim issues internally to other key departments
including Coding, Billing, Charging, Contracting, etc.
**Knowledge / Skills / Abilities**
+ The ability to express information in a clear and understandable
+ Ability to organize and prioritize work to meet productivity
expectations and/or deadlines.
+ Ability to identify root cause of issue and design logical
approach for resolution.
+ Ensures accuracy and thoroughness in accomplishing tasks.
+ Takes ownership for the quality and timeliness of work and can
achieve result with little oversight.
+ Promotes cooperation and commitment to team goals.
+ Ability to solicit and act on constructive feedback, challenge
oneself and demonstrate resilience in the face of opposition.
+ Provides outstanding service through empathy, issue resolution
and follow through.
+ Three years of medical billing experience, or equivalency.
+ Understanding of Medical billing terminology or equivalent.
+ Demonstrated claims knowledge through AAHAM certification, or
+ One year of coding experience using ICD-10.
**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.
**We are University of Utah Health. Employment.utah.edu**
Color Determination, Lifting, Listening, Manual Dexterity, Near
Vision, Pulling and/or Pushing, Reaching, Sitting, Speaking,
_University of Utah Health Hospitals and Clinics, a part of The
University of Utah, values candidates who have experience working
in settings with students from diverse backgrounds and possess a
strong commitment to improving access to higher education for
historically underrepresented students._
_Individuals from historically underrepresented groups, such as
minorities, women, qualified persons with disabilities and
protected veterans 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 Heath 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
_To request a reasonable accommodation for a disability, please
contact the University of Utah Health Hospitals and Clinics Human
Resources office at 801-581-6500.If you or someone you know has
experienced discrimination or sexual misconduct including sexual
harassment, you may contact the Director/Title IX Coordinator in
the Office of Equal Opportunity and Affirmative Action:_
_Director/ Title IX Coordinator_
_Office of Equal Opportunity and Affirmative Action (OEO/AA)_
_135 Park Building_
_Salt Lake City, UT 84112_
_Online reports may be submitted atoeo.utah.edu/_
**_For more information:
**_To inquire about this posting, email:
_The University is a participating employer with Utah Retirement
Systems ("URS"). Eligible new hires with prior URS service, may
elect to enroll in URS if they make the election before they become
eligible for retirement (usually the first day of work). Contact
Hospitals and Clinics Human Resources at (801) 581-6500 for
information. Individuals who previously retired and are receiving
monthly retirement benefits from URS are subject to URS'
post-retirement rules and restrictions. Please contact Utah
Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals
and Clinics Human Resources at (801) 581-6500 if you have questions
regarding the post-retirement rules._
_This position may require the successful completion of a criminal
background check and/or drug screen._
**Requisition Number** _51781_
**Employment Type** _Full-Time_
**Work Schedule** _M-F, 9am-5pm_
**Location Name** _Business Services Building_
**Patient Care?** _No_
**City** _SALT LAKE CITY_
**Department** _COR ISC 10D PAYMENT INTEGRITY_
Keywords: University of Utah Health, Salt Lake City , Insurance Receivable Specialist II, Other , Salt Lake City, Utah
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