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University of Colorado Insurance Claims Adjuster in Denver, Colorado

University of Colorado Denver l Anschutz Medical Campus

School of Medicine/Department of Psychiatry/Division of Substance Dependence/Addiction Research and Treatment Services

Insurance and Claims Adjuster (Accounting Technician II)

Position #00217455 Posting #17201

Applications are accepted electronically ONLY atwww.cu.edu/cu-careers

Positions in the class series provide technical support work to agency accountants and program managers by processing financial transactions and maintain accurate and complete records of transactions. Accounting technicians complete and code receipts, vouchers, and journal entries; pay vouchers; process accounts payable and accounts receivable; post transactions to assigned journals and ledgers or enter to automated systems; review source documents for proper authorization, accuracy, and compliance with accounting rules; verify and correct discrepancies and errors; monitor sufficiency of funds in accounts; adjust and balance accounts, and compile data and produce financial statements; and, act as a technical resource to non-accounting agency staff. Positions may recommend changes in various accounting reports, formats, and operating procedures to supervisors.

This class describes the second-level accounting technician. While the types of duties are similar to those performed by the Accounting Technician I, the job complexity is different. The systems, operations, and processes are still established and defined but allow more flexibility and latitude in adapting practical approaches and routines for various situations. Not all circumstances are covered by established guidelines so positions must improvise solutions and alternatives.

_Summary: _

This position is responsible for the thorough, timely and accurate research of all insurance claim activities, including claim payments, payment authorizations, denials, and payment reconciliation for multiple payers. The complexity of the issues will require proficient use of two electronic health record (EHR) systems, an on-line claims submission and processing system, as well as an additional accounting software program. This position will also be responsible for managing client accounts, including payment authorizations, change of payers, payment entry, denials, and reconciliation of payments. Applicant must also possess excellent customer service skills, including effective, professional, and appropriate communication with staff, clients, and outside providers.

_Duties:_

  • Advanced use of two electronic health record systems, proficient use of an on-line claims submission and processing system, and an intermediate use of our accounting software system, examples include but are not limited to:

  • Management of Client Records (including Payer changes and address updated, financial/eligibility documentation)

  • Research of Clinical Activities to verify services

  • Eligibility Verification (Commercial Insurance, Medicaid, contracted payers)

  • Successful tracking and management of Payer Authorizations

o Quality Claim Preparation and Submission-Including verification of service delivery, proper use of CPT codes, proficient understanding of ICD-9 and ICD-10 codes, accurate data entry

o Advanced Payment Reconciliations

o Advanced Work of Payment Denials

o Strong organization skills

o Strong Leadership abilities

o Provide Coverage for the Team Lead

o Intermediate use of Microsoft Excel including the creation, use and maintenance of Excel spreadsheets

o Intermediate use of Microsoft Work, Microsoft Outlook and One Note

o Effective and professional communication skills, including both written and verbal. Written communication should be free of grammatical errors.

This description is a summary only and is describing the general level of work being performed, it is not intended to be all-inclusive. The duties of this position may change from time to time and/or based on business need. We reserve the right to add or delete duties and responsibilities at the discretion of the supervisor and/or hiring authority.

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Salary and Benefits:

The hiring salary for this position is $38,760 and is negotiable and commensurate with skills and experience. This position is eligible for overtime compensation.

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PLEASE NOTE: Candidates will be responsible for travel expenses related to the interview process and any relocation expenses, if applicable.

Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.

Benefits:https://www.cu.edu/employee-services/benefits.

Total Compensation Calculator:https://www.cu.edu/employee-services/total-compensation

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Diversity and Equity:

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Please click here for information on disability accommodations:http://www.ucdenver.edu/about/departments/HR/jobs/Pages/JobsatCUDenver.aspx

TheUniversity of Colorado Denver | Anschutz Medical Campus is committed to recruiting and supporting a diverse student body, faculty and administrative staff. The university strives to promote a culture of inclusiveness, respect, communication and understanding. We encourage applications from women, ethnic minorities, persons with disabilities and all veterans. The University of Colorado is committed to diversity and equality in education and employment.

TheUniversity of Colorado Denver | Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

_Minimum Qualifications:_

Two years of experience in insurance claims processing, medical coding, or medical billing required within the last 5 years.

_Conditions of Employment_

  • Must agree to fingerprinting and criminal background check.

  • Required background checks include a review with the Colorado Bureau of Investigation (CBI)

  • Subject to pre-employment, post-accident or incident or reasonable suspicion drug and alcohol testing per UCD Addiction Research and Treatment Services Department Policies.

_Required Competencies: Knowledge, Skills and Abilities_

  • Excellent data entry skills

  • Superior time management skills

  • Superior attentiveness to detail and accuracy

  • Excellent oral communication skills

  • Excellent writing skills for communication purposes

  • Excellent organizational skills

  • Outstanding interpersonal skills

  • Outstanding research skills

  • Outstanding analytical skills

  • Proficient use of Microsoft Word, Excel, Outlook, and One Note

_Preferred Qualifications_

  • 10 key Proficiency

  • 6-months customer service experience

  • Experience billing Health insurance claims, for example, Kaiser, Medicaid, various State Agencies, Commercial Insurance, etc

  • Experience in the Health Insurance Arena (including billing of services via claim form, verification of insurance benefits, review of complex issues, experience in denials and appeals, payment entry and payment reconciliations

Job: *Finance and Accounting

Organization: *U0001 -- DENVER & ANSCHUTZ MED CAMPUS

Title: Insurance Claims Adjuster

Location: Denver

Requisition ID: 17201

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