Claims Specialist I

University of Utah Health•Salt Lake City, UT

1d•Onsite

About The Position

This position is responsible for government insurance receivables collections, denials resolution and internal/external customer service. Responsible for claim submission and rejections. Account portfolio will include accounts exceeding $10,000 per claim. This position is not responsible for providing patient care. 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.

Requirements

Three years of medical billing experience.
High School Diploma, or equivalency.
The ability to express information in a clear and understandable manner.
Demonstrated attention to detail, and a logical approach to resolutions, and the ability to resolve difficult or complicated challenges.
Demonstrated effective time management skills.
Ability to take ownership for the quality and timeliness of work and can achieve results with little oversight.

Nice To Haves

Understanding of Medical Billing terminology.
AAHAM certification, or equivalency.

Responsibilities

Performs denial resolution on outstanding claims.
Performs billing compliance on new and outstanding claims ensuring timely and appropriate reimbursement based on regulatory guidance.
Escalates claims and issues for resolution.
Performs appropriate actions based on HIPAA transactions and billing regulations.
Evaluates and resolves claim rejections.
Takes ownership for the quality and timeliness of work and achieves result with little oversight.
Approaches every customer encounter with the attitude that the customer is right with the intent of first touch resolution.

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