REIMBURSEMENT SPECIALIST/ANALY
UHS
Summary
The Atlantic Region Central Billing Office (ARCBO) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Reimbursement Specialist / Analyst.
Job description
Atlantic Region CBO
The Atlantic Region Central Billing Office (ARCBO) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Reimbursement Specialist / Analyst.
The Reimbursement Specialist / Analyst is responsible for the resolution of accounts entered into the Audit, Denial and Accounts Receivable Systems.
Key Responsibilities
- Ensure a complete and transparent reporting of outcomes resulting from subsequent follow up including audits.
- Effectively track, trend, and assure quality of all accounts by ensuring they are properly entered and tracked in all systems.
- Enter and follow up on audit accounts that are received by the CBO.
- Comprehend audit requests and select appropriate audit type.
- Understand financial information for the account.
- As the audit progresses through the process, complete the updates and determine how to proceed with accounts that require action.
- Follow up with payers on all tasks that are due.
- Work with payers and facilities to obtain decision letters, and additional information as required.
- Document in patient account notes as indicated.
- Work with Appeals staff for resolution on denied accounts.
- Route appeals relating to technical and clinical issues identified during the billing of claims, denial or receipt of audit.
- Work with HIM, vendors and facility clinicians to correct deficiencies in a timely manner.
- Identify problem accounts and trends and escalate as appropriate.
- Work with insurance companies to secure payment on account balances outstanding.
- Properly document the patient account with actions taken to resolve issue.
- Meet productivity standards and departmental goals and objectives.
- Other duties as assigned.
Requirements
- High school diploma or equivalent
- 1-3 years healthcare experience preferred
- Strong Microsoft Office skills (Excel, Word, Outlook)
- Customer focused both internally and externally
- Strong attention to detail
- Ability to multi-task
- Strong 10 key data entry
- Excellent written and oral communication skills
- Familiarity and 1-3 years healthcare business office experience preferred
Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- Prescription Drug Plans
- 401(k) Matching
- Discounted Stock Plan
- Student Loan Refinancing
- Paid Time Off
- Pet Insurance
- Career Development
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.