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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, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible for bundled billing processes including episodic billing, contract compliance, reconciliation, and customer service. This position is not responsible for providing patient care.
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.
ResponsibilitiesEssential Functions- Performs insurance follow-up, denial resolution, and contract compliance ensuring timely and appropriate reimbursement, based on contract terms.
- Performs bundled billing functions including oversight of registration, charge routing, episode creation and preparing bundled packet.
- Performs reconciliation functions including HB/PB claims, Hospital / Physician payments, disbursements and episode balancing.
- Escalates claim's issues internally to other key departments (including Coding, Billing, Charging, Contracting, etc.).
- Resolves clinical and/or authorization denials through CARC analysis and appeals - including clinical documentation review, coordination with UR and/or attending physician.
- Acts as patient advocate in the resolution of balances.
- Prepares and monitors high dollar spreadsheets and/or payer escalations spreadsheets, as assigned.
- The ability to express information in a clear and understandable manner.
- Ability to take a logical approach to resolutions.
- Ability to take ownership for the quality and timeliness of work and can achieve results with little oversight.
- Ability to resolve difficult or complicated challenges.
- Attends to details and pursues quality in accomplishing tasks.
- The ability to service and resolve customer requests with the customer in mind first and foremost.
- Demonstrated skills in analytical thinking.
- Four years of medical billing experience.
- Medical Billing terminology.
- Claims knowledge through AAHAM.
- Accounting reconciliation skills.
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.
Skills Required
- Four years of medical billing experience
- Knowledge of medical billing terminology
- Claims knowledge through AAHAM
- Accounting reconciliation skills
University of Utah Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about University of Utah and has not been reviewed or approved by University of Utah.
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Retirement Support — Employer-funded retirement contributions on both the academic campus and U of U Health are notably strong, with automatic contributions and additional voluntary savings options. This emphasis makes long-term financial benefits a distinctive part of the total compensation offering.
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Healthcare Strength — Multiple medical plan choices, robust mental-health support through the Employee Assistance Program, and wellness programs create a comprehensive health offering. Network options and wellness incentives further enhance coverage quality.
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Parental & Family Support — Paid parental leave policies provide options for fully paid periods or extended partial-pay leave for staff, with parallel provisions at U of U Health. Separate frameworks for faculty include modified duties and leave arrangements during family transitions.
University of Utah Insights
What We Do
The University of Utah, located in Salt Lake City in the foothills of the Wasatch Mountains, is the flagship institution of higher learning in Utah. Founded in 1850, it serves over 31,000 students from across the U.S. and the world. With over 72 major subjects at the undergraduate level and more than 90 major fields of study at the graduate level, including law and medicine, the university prepares students to live and compete in the global workplace. Known for its proximity to seven world-class ski resorts within 40 minutes of campus, the U encourages an active, holistic lifestyle, innovation and collaborative thinking to engage students, faculty and business leaders. The University of Utah became a member of the PAC-12 conference in July 2011. Technology and Commercialization The University of Utah is tops in the country for creating start-up companies from university research, according to a ranking by the Association of University Technology Managers (AUTM). See http://unews.utah.edu/news_releases/u-of-utah-no-1-for-startups for more information. Forbes magazine’s recent ranking of the “Best States for Business” pointed to “an educated labor force” as a big reason Utah came in at number one. The U supplies many of the employees for companies that keep expanding their operations in Utah, such as Goldman Sachs, Adobe, Omniture, Oracle, Ebay and many others. http://pac12info.utah.edu/commercialization-of-innovation/ Healthcare University of Utah Health Care recently ranked first in the nation in a prestigious national study. The University Health System Consortium’s 2010 Quality and Accountability Study compared 98 of the nation’s top academic medical centers and ranked them based on core quality measures, patient safety indicators, mortality rates, re-admission rates, and patient satisfaction scores. See more about University of Utah Health Care at http://healthcare.utah.edu/index.php
