Summary

The Insurance Follow Up Specialist is responsible for the follow up and resolution of patient and third party accounts receivable balances. Knowledge of third party payer rules and regulations including Medicare, Medicaid, Blue Cross Blue Shield and medical terminology. Develops strong working relationships with major payers to assure timely resolution of claims processing issues. The ability to communicate clearly and concisely both verbally and in writing. Customer focused, providing service consistently exceeding expectations to both internal and external customers. Proficiency in Microsoft Office applications, collection tactics and negotiation skills. Ability to prioritize needs and to manage resources. Can perform basic mathematical calculations and balance and recognize figures.

Job description

Responsibilities

The Insurance Follow Up Specialist is responsible for the follow up and resolution of patient and third party accounts receivable balances. Knowledge of third party payer rules and regulations including Medicare, Medicaid, Blue Cross Blue Shield and medical terminology. Develops strong working relationships with major payers to assure timely resolution of claims processing issues. The ability to communicate clearly and concisely both verbally and in writing. Customer focused, providing service consistently exceeding expectations to both internal and external customers. Proficiency in Microsoft Office applications, collection tactics and negotiation skills. Ability to prioritize needs and to manage resources. Can perform basic mathematical calculations and balance and recognize figures.

Key Responsibilities

Perform follow up activities on accounts to ensure prompt payment
Identify coding or billing errors from EOBs and work to correct them
Update the patient account record to identify actions taken
Adhere to all HIPAA guidelines as well as various policies and guidelines
Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor
Pursue and participate in education to remain current with changes in the Healthcare industry
Organize and prioritize tasks to meet deadlines
Contribute to team effort by accomplishing related results as needed
Assist with increasing cash flow by decreasing our Account Receivables aging account
Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives

Qualifications

Position Requirements: Minimum 1 year of experience in an office setting highly preferred. Knowledge of managed care payers and medical terminology is preferred. Ability to learn quickly, build and maintain long term relationships and work with minimal supervision. Detail-oriented with the ability to work on multiple, competing, priorities. Proficient in Microsoft Office and Windows products. Strong written and verbal communication skills; strong analytical, organizational and time management skills required. Gathers and analyzes information skillfully.

Requirements

Minimum 1 year of experience in an office setting highly preferred
Knowledge of managed care payers and medical terminology is preferred
Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
Detail-oriented with the ability to work on multiple, competing, priorities
Proficient in Microsoft Office and Windows products
Strong written and verbal communication skills
Strong analytical, organizational and time management skills required
Gathers and analyzes information skillfully

Benefits

Paid Time Off
Medical Insurance
Dental Insurance
Vision Insurance
Prescription Drug Plans
401(k) with company match
Discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities
Pet Insurance

Company overview

Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.