Insurance Enrollment Processor

University of Utah Health • Murray, UT

2d • Onsite

About The Position

This position is for use in Health Plans Departments only. This position is responsible for updating and maintaining eligibility information and coordinating insurance claims. University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system.

Requirements

• Associate's degree, or equivalency which could include two years of experience in insurance, medical claims processing, and benefits enrollment processing.
• Knowledge of Medicaid, commercial insurance, and Medicare.
• Demonstrated proficiency in the use of Microsoft Office software.
• Strong written and verbal communication skills.

Responsibilities

• Processes and maintains manual and electronic enrollment information.
• Researches eligibility and claims and updates system with correct information.
• Maintains and updates enrollment, files, and processes coordination of benefits claims.
• Processes medical claims involving enrollment and coordination of benefits laws and regulations.
• Coordinates member insurance information with other state, federal and commercial insurance carriers and providers.
• Adheres to department quality and production processing standards.
• Acts as a liaison between the organization and insurance providers.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree