University of Utah Insurance Account Representative in Salt Lake City, Utah
Open Date 03/13/2018
Requisition Number PRN16581B
Job Title Insurance Account Representative
Working Title Patient Billing Insurance Specialist
Job Grade C
FLSA Code Nonexempt
Patient Sensitive Job Code? No
Standard Hours per Week 40
Full Time or Part Time? Full Time
Work Schedule Summary
VP Area President
Department 01167 - HCI Clinical Trials Operations
City Salt Lake City, UT
Type of Recruitment External Posting
Pay Rate Range 12.02 to 21.63
Open Until Filled Yes
•Review patient charges inEPICBilling Website
o Review patient charges for insurance or study purposes
•Customer service to coordinators and staff in adhering to protocols
•Make reservations for patients for hotel stays
•Track charges that are pass through costs, copy and record for invoicing
•Enter/remove patients to/from uTRAC
•Add new trials to uTRAC
•Contacting vendors to make payment arrangements for services outside our facility that we are required to pay
•Misc Accounts Payable and supply ordering for studies
•Prepare check requests for patient stipends/reimbursements
•Update patient payments spreadsheet with charges based off of study visits
•ReviewSPRLfor accuracy against protocol
•Spend time becoming familiar with protocols, review billing grids/calendar specifications and review up front for potential issues
•Review trials for close out of patient charges
•Review and post invoices from the Investigational pharmacy department
Within the framework of policy, the candidate will decide, which charges are correctly posted, and which charges need to be reversed in researching charges withinEPICreconciling to each individual study.
Challenges encountered include obtaining correct information on patient accounts, verifying patient information, and using appropriate channels to ensure timely corrections on patient accounts. The candidate must ensure that patient charges are reviewed within required deadlines and process accurately a high volume of transactions.
Responsible for patient billing compliance as negotiated in sponsored contracts. The successful candidate would be familiar with insurance claim processing to assist them in identifying procedures on a billing grid to determine which patient charges are would be billed to insurance and which charges should be paid by the study using the Universities billing systems,EPICand uTRAC. Prepare paperwork for patient stipends/reimbursements, make overnight accommodations, and negotiate discounts with outside facilities for study procedures if a study procedure is performed outside of our organization. Review invoices for patient visits for accuracy. Assist Pre Award team in identifying procedure codes andCPTcodes as needed. Provide customer service to coordinators and patients as needed. Assist as needed for special projects.
Two years of accounting or medical insurance claim experience; a basic understanding of debits and credits, word processing, spreadsheet, and ten-key by touch skills, strong analytical skills, and effective verbal and written communication and human relation skills required. Familiarity with commercial or government billing requirements and knowledge of insurance, coding, and medical terminology is preferred.
Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
Type Benefited Staff
Special Instructions Summary
The University of Utah is an Affirmative Action/Equal Opportunity employer and is committed to diversity in its workforce. In compliance with applicable federal and state laws, University of Utah policy of equal employment opportunity prohibits discrimination on the basis of race or ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity/expression, veteran’s status, status as a qualified person with a disability, or genetic information. Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities, and protected veterans are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law.
To inquire about this posting, email: firstname.lastname@example.org or call 801-581-2300. Reasonable accommodations in the application process will be provided to qualified individuals with disabilities. To request an accommodation or for further information about University AA/EO policies, please contact the Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Cr., Rm 135, (801) 581-8365 (V/ TDD ), email: email@example.com .
The University is a participating employer with Utah Retirement Systems (“URS”). To be eligible for retirement contributions, you must be hired into a benefit-eligible position. Certain new hires are automatically assigned to the URS retirement plan and other employees with prior URS service, may elect to enroll in the URS within 30 days of hire. Regardless of whether they are hired into a benefit-eligible position or not, individuals who previously retired and are receiving monthly retirement benefits from URS must notify the Benefits Department upon hire. Please contact Utah Retirement Systems at (801)366-7770 or (800)695-4877 or the University’s Benefits Department at (801)581-7447 for information.
This position may require the successful completion of a criminal background check and/or drug screen.