Job Description

University of Utah Job Description

Job Summary

This position is responsible for following patient accounts through the entire billing process from eligibility to completion of payment process. Providing medical billing and collection processes by verifying eligibility and benefits, obtaining pre-authorizations, entering medical codes, requesting payments and resolving account issues.

Qualifications

Three years medical billing experience or equivalency (one year of education can be substituted for two years of related work experience) required. Thorough knowledge of entire billing process, demonstrated computer skills, human relations and effective communication skills are also required.

This position is patient-sensitive and must fulfill all associated vaccination requirements, or be approved for an exemption, prior to the first day of work. We protect our patients, coworkers and community by requiring all patient-sensitive employees to be immunized according to CDC standards and hospital policy. Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification.  It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Essential Functions

1. Reduces age trial balances by contacting patient for collection or sending secondary claims.
2. Monitor charges/revenue for accuracy and timeliness.
3. Provides customer service to patients by educating them on insurance policies, billing procedures and coding issues.
4. May contact patients and insurance companies for payment requests, overdue payments, denied claims and arranges payment plans.
5. May contact insurance companies for explanation of benefits, pre-authorizations and to resolve claim issues.
6. Coordinates and resolves denials including the appeals process.
7. Processes changes in systems to support accurate and efficient billing processes.
8. May provide training to others on billing procedures and practices.

Problem Solving

Demonstrated potential ability to perform the essential functions as outlined above. Demonstrated knowledge to calculate expected reimbursement based on contract term. Demonstrated human relations and effective communications skills. Demonstrated knowledge of entire billing process. Demonstrated computer skills. Working knowledge of insurance denials and appeals.

Comments

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.

The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.  The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.