CUSTOMER SVC REP II - Government Department

UHS•Las Vegas, NV

6d•Onsite

About The Position

The Western Region Consolidated Business Office delivers comprehensive insurance revenue services to our affiliated UHS facilities, encompassing billing, collections, cash posting, pre-access management, variance analysis, and customer service. Our dedication to associate satisfaction and growth is recognized by industry leaders, exemplifying our commitment to fostering a positive and inclusive workplace culture. Our associates can count on competitive salaries, top-tier medical, dental, and retirement benefits, career training, and support for continued professional development. Customer Service Rep II is responsible for the maintenance and processing of patient accounts, the follow up and resolution of Commercial, Managed Care and third-party insurance accounts receivable balances. Assures all insurance codes and financial classes are correct in a precise and quality manner. Properly documents the patient account with actions taken to resolve the issue(s). Review payer EOB to determine appropriate follow up based on internal procedures. Utilize Cobius to review and track the life of a denial. Checks claim status via online and through the Payer Portals. Checks eligibility and updates of the insurance Iplan based on verified insurance coverage.

Requirements

3-5 years healthcare/collection experience and or equivalent experience in a hospital setting
2-3 Years Claims Collections Experience in Healthcare
Demonstrated knowledge of insurance billing relating to patient reimbursement
Communicates clearly and effectively to all levels of an organization
High School or equivalent
Computer proficiency to include word processing, spreadsheet, database, and patient accounting system
Microsoft Office Suites proficiency
Ability to understand and know how to read an EOB
Type 55 WPM

Nice To Haves

Experience with Medicaid and Workers Compensation programs
Acute Care Setting experience in a hospital or doctor's office (back office preferred)

Responsibilities

Maintenance and processing of patient accounts
Follow up and resolution of Commercial, Managed Care and third-party insurance accounts receivable balances
Assure all insurance codes and financial classes are correct in a precise and quality manner
Properly document the patient account with actions taken to resolve the issue(s)
Review payer EOB to determine appropriate follow up based on internal procedures
Utilize Cobius to review and track the life of a denial
Check claim status via online and through the Payer Portals
Check eligibility and updates of the insurance Iplan based on verified insurance coverage