University of Utah Medical Billing Account Specialist in Salt Lake City, Utah
Open Date 10/15/2018
Requisition Number PRN18661B
Job Title Billing Specialist
Working Title Medical Billing Account Specialist
Job Grade C
FLSA Code Nonexempt
Patient Sensitive Job Code? No
Standard Hours per Week 40
Full Time or Part Time? Full Time
Work Schedule Summary
VP Area U of U Health - Academics
Department 00209 - Univ Medical Billing - Oper
City Salt Lake City, UT
Type of Recruitment External Posting
Pay Rate Range 17.96 - 18.86
Open Until Filled Yes
Follows patient accounts through the entire billing process from eligibility to completion of payment process. Provides medical billing and collection processes by verifying eligibility and benefits, obtaining pre-authorizations, entering medical codes, requesting payments and resolving account issues.
1.Resolve various medical billing edits within established timelines.
2.Identify trends and issues with insurance denials and billing edits. Verbally communicate the issues and propose solutions to the supervisor by preparing a written summary of departmental issues and concerns.
3.Follow-up (in-bound and out-bound phone calls and e-mail) with University departments and various insurance companies regarding claim submission.
4.Analyze trend reports to reduce AR by contacting the insurance and escalating payer issues to resolve unpaid claims.
5.Write appeal letters using the established insurance guidelines to resolve collection barriers.
6.Respond to written and email correspondence within established timelines.
7.Call patients and insurance companies to follow-up with account information.
8.May provide training to others on billing procedures and practices.
9.Overtime may be required.
10.Other duties as assigned.
The Billing Specialist directly affects the unit or clinic profitability by following up for payment and accurately coding visits and procedures. This position has the authority to negotiate payment settlements for patients or with insurance companies and authorize patient discounts within the policy and procedure guidelines.
The incumbent resolves issues with insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues.
Work Environment and Level of Frequency typically required
Nearly Continuously: Office environment.
Physical Requirements and Level of Frequency that may be required
Nearly Continuously: Sitting, hearing, listening, talking.
Often: Repetitive hand motion (such as typing), walking.
Seldom: Bending, reaching overhead.
Three years medical billing experience and one year of coding experience usingICD-9-CM or equivalency required. Thorough knowledge of entire billing process, demonstrated computer skills, human relations and effective communication skills are also required.
Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
Type Benefited Staff
Special Instructions Summary
The University of Utah is an Affirmative Action/Equal Opportunity employer and is committed to diversity in its workforce. In compliance with applicable federal and state laws, University of Utah policy of equal employment opportunity prohibits discrimination on the basis of race or ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity/expression, veteran’s status, status as a qualified person with a disability, or genetic information. Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities, and protected veterans are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law.
To inquire about this posting, email: firstname.lastname@example.org or call 801-581-2300. Reasonable accommodations in the application process will be provided to qualified individuals with disabilities. To request an accommodation or for further information about University AA/EO policies, please contact the Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Cr., Rm 135, (801) 581-8365 (V/ TDD ), email: email@example.com .
The University is a participating employer with Utah Retirement Systems (“URS”). To be eligible for retirement contributions, you must be hired into a benefit-eligible position. Certain new hires are automatically assigned to the URS retirement plan and other employees with prior URS service, may elect to enroll in the URS within 30 days of hire. Regardless of whether they are hired into a benefit-eligible position or not, individuals who previously retired and are receiving monthly retirement benefits from URS must notify the Benefits Department upon hire. Please contact Utah Retirement Systems at (801)366-7770 or (800)695-4877 or the University’s Benefits Department at (801)581-7447 for information.
This position may require the successful completion of a criminal background check and/or drug screen.