An adjustable receiver hitch system including a slide member that may be installed on a receiver tube attached to a vehicle, extending therethrough. Near the distal end of the slide member is disposed a rotationally pivotable bearing assembly. Interchangeable connection ends may be attached to the bearing assembly and are used to connect to a towed trailer. One interchangeable end may feature a height adjustment capability, while others may have fixed vertical heights. The system allows a user to adjust the attachment portion of the hitch in multiple ways to connect to a towed trailer to allow for attachment without an exact alignment between the primary vehicle and the trailer.