Insurance Account Representative Jobs

1. Processes EOBs by referencing date of service, amount billed, amount paid, and any associated contractual or patient responsibility. Annotates each account with information from EOB.
2. Researches incoming checks and remittance advice and ensures accurate distribution and posting of payments.
3. Prepares bills for various payors, verifying that patient information, dates of services, and coding are correct; coordinates with Health Information Department to resolve coding discrepancies and correct them in billing system.
4. Ensures accurate transmission of all electronic and/or manual claims. Monitors electronic posting processes for accuracy and retrieves files and corrects errors when necessary. Balances electronic remittances with patient accounting financial system.
5. Researches and prepares patient/insurance refunds according to hospital policy. Verifies patient eligibility for refund by referring to EOBs.
6. Computes contractual or other adjustments based on explanation of benefits, remittance advice, and insurance contracts.
7. Resolves payments posted to unapplied accounts.
8. Batches manual adjustments and payment transfer requests.
9. Prepares self-pay documents, denials, and other documents for data entry.
10. Communicates directly with patients/guarantors and/or insurance companies to verify correct data and benefits. May assist in determining or verifying patient eligibility and benefits, complete admission/registration accounts to reflect correct billing and demographic information, or accept cash and credit card payments from patients.
11. May coordinate with clinical departments to resolve billing issues or obtain additional claim information.

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

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 University of Utah values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.

Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran’s status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action:

Director/ Title IX Coordinator

Office of Equal Opportunity and Affirmative Action ( OEO /AA)

383 University Street, Level 1 OEO Suite

Salt Lake City, UT 84112

801-581-8365

[email protected]

Online reports may be submitted at oeo.utah.edu

For more information: https://www.utah.edu/nondiscrimination/

To inquire about this posting, email: [email protected] or call 801-581-2300.

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.

This position may require the successful completion of a criminal background check and/or drug screen.

https://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.