Reimbursement Specialist

Responsibilities

One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2020, UHS was recognized as one of the Worlds Most Admired Companies by Fortune; ranked #281 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates approximately acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

The Atlantic Region CBO is seeking a dynamic and talented Reimbursement Specialist/Analyst.

The Reimbusement Specialist/Analyst is responsible for the resolution of accounts entered into the Audit, Denial and Accounts Receivable Systems. To ensure a complete and transparent reporting of outcomes resulting from subsequent follow up including audits. To effectively track, trend, and assure quality of all accounts by ensuring they are properly entered and tracked in all systems.

Key Responsibilities Include:

• Enter and follow up on audit accounts that are received by the CBO. Ability to comprehend audit requests and select appropriate audit type. Understanding of 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.
• Responsible for routing appeals relating to technical and clinical issues identified during the billing of claims, denial or receipt of audit.
• Works with HIM, vendors and facility clinicians to correct deficiencies in a timely manner
• Identify problem accounts and trends. Escalate as appropriate.
• Works with insurance companies to secure payment on account balances outstanding
• Properly documents the patient account with actions taken to resolve issue.
• Meet productivity standards and departmental goals and objectives.
• Other duties as assigned

Qualifications

Position 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, the ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required.

Familiarity and 1-3 years healthcare business office experience preferred.

This opportunity provides the following:

Challenging and rewarding work environment

Growth and development opportunities within UHS and its subsidiaries

Competitive Compensation

Excellent Medical, Dental, Vision and Prescription Drug Plan 401k plan with company match

Generous Paid Time Off

If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online. UHS offers competitive compensation commensurate with experience. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means. UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

Salary : $0