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Medical Claims Adjuster
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-89694031

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University of Utah Health

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  Job posted:   Wed May 16, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Medical Claims Adjuster

_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, 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.


+ 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.




+ Five years experience collecting, organizing and maintaining health insurance and processing medical claims and familiarity with medical coding or equivalency.

**Qualifications (Preferred)**

**Working Conditions and Physical Demands**

_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.

**Physical Requirements**

Listening, Sitting, Speaking, Standing, Walking

**Requisition Number** _29254_

**Reg/Temp** _Regular_

**Employment Type** _Full-Time_

**Shift** _Day_

**Work Schedule** _8am to 6pm_

**Location Name** _University of Utah Health Plans_

**Patient Care?** _No_

**City** _Murray_

**State** _UT_

**Department** _UIP CST 01H UUHP OPERATIONS_

**Category** _Insurance / Health Plans_

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.

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