University of Utah Health

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Medical Claims Adjuster

Requisition Number
75656
Reg/Temp
Regular
Employment Type
Full-Time
Shift
Day
Work Schedule
Monday-Friday 8:00 AM - 4:30 PM
Clinical/Non-Clinical Status
Non-Clinical
Location Name
525 Plaza
Workplace Set Up
Hybrid
City
Salt Lake City
State
UT
Department
COR CST 27L CARE TRANSFORM
Category
Finance/Accounting

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, diversity, integrity, quality and trust that are integral to our mission. EO/AA

 

This position is responsible for researching, identifying and adjusting medical claim errors. This position is not responsible for providing care to patients.

 

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

  • Reviews medical claim requests or electronic records to determine if adjustment is necessary.
  • Adjusts and documents medical claims or electronic records.
  • Researches and verifies appropriate refund requests. Posts refund checks to correct accounts.
  • Identifies errors associated with adjustment and refund processes.
  • Ensures quality improvement by providing adjustment trend information.
  • Processes voids and adjusts medical claims or electronic records.
  • Reviews report of logged claims and resolves issues.
  • Assists in testing system functionality during system upgrades and implementations.

Knowledge / Skills / Abilities

  • Demonstrated potential ability to perform the essential functions as outlined above.
  • Demonstrated human relations and effective communication skills.
  • Ability to identify problems and correct errors.

Qualifications

Qualifications

Required

  • Three years of experience collecting, organizing and maintaining health insurance and processing medical claims.
  • Familiarity with medical coding, or equivalency.

Qualifications (Preferred)

Preferred

  • Medical coding experience.

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

Non Indicated

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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 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 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.

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 (OEO/AA). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: www.utah.edu/nondiscrimination/

Online reports may be submitted at oeo.utah.edu/

 


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.