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Billing Specialist II Job (Salt Lake City, UT, US)

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Billing Specialist II


Requisition Number: 10136 Reg/Temp Regular

Employment Type: Full-Time Shift Day

Work Schedule: ..

Location Name: Business Services Building

City: SALT LAKE CITY State UT

Department: UUH ISC 10R OP CODING

Overview:

As a patient-focused organization, the University of Utah Health Care 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 Care 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 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.

Billing Specialist II is responsible for a portfolio averaging 5 million dollars.

This position is not responsible for providing care to patients.

Responsibilities:

- Contacts insurance companies for explanation of benefits, pre-authorizations and to resolve claim issues.
- Reduces age trial balances by contacting patient for collection or sending secondary claims.
- Provides customer service to patients by educating them on insurance policies, billing procedures and coding issues.
- Calls patients and insurance companies to follow-up with account information.
- May provide training to others on billing procedures and practices.
- Coordinates and resolves denials including the appeals process.
- Contacts patients and insurance companies for payment requests, overdue payments, denied claims and arranges payment plans.

Knowledge / Skills / Abilities

- 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.

Qualifications:

Required

- Four years medical billing experience.
- One year of coding experience using ICD-9-CM or equivalency.

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