Medical Claims Adjuster, CPhT Required
Requisition Number: 10957 Reg/Temp Regular
Employment Type: Full-Time
Shift: Day
Work Schedule: M-F 8:00am to 4:30 pm
Location Name: Off-Campus (Other)
City: SALT LAKE CITY
State: UT
Department: UUH ISC 11C RX BILLING SRVCS
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.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 researching, identifying and adjusting medical claim errors.
This position is not responsible for providing care to patients.
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:
Required
- Five years experience collecting, organizing and maintaining health insurance and processing medical claims and familiarity with medical coding or equivalency.
Qualifications (Preferred):
Must be currently licensed as Certified Pharmacy Technician.
Requisition Number: 10957 Reg/Temp Regular
Employment Type: Full-Time
Shift: Day
Work Schedule: M-F 8:00am to 4:30 pm
Location Name: Off-Campus (Other)
City: SALT LAKE CITY
State: UT
Department: UUH ISC 11C RX BILLING SRVCS
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.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 researching, identifying and adjusting medical claim errors.
This position is not responsible for providing care to patients.
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:
Required
- Five years experience collecting, organizing and maintaining health insurance and processing medical claims and familiarity with medical coding or equivalency.
Qualifications (Preferred):
Must be currently licensed as Certified Pharmacy Technician.