Insurance Underpayments Analyst

UHS•Richmond, VA

About The Position

The Atlantic Region Central Billing Office (“ARCBO”) or (“CBO”) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Insurance Underpayments Analyst - Central. The primary responsibility of the Insurance Underpayments Analyst is the resolution of over and underpayment discrepancies on paid accounts. Assists in review of the PRM and assures properly maintained. Actively participates in contract review. Completes other tasks and assignments in a timely manner.

Requirements

Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies.
Understands complex managed care agreements.
The ability to communicate clearly and concisely both verbally and writing.
Customer focused, providing service consistently exceeding expectations to both internal and external customers.
Proficiency in Microsoft Office applications and others as required.
Ability to prioritize needs and to manage resources.
High school diploma or equivalent and 1-3 years contract analysis experience preferred.

Responsibilities

Respond to manager's requests in a timely manner.
Able to recognize any variances regarding payments from all third party carriers.
Advises manager on any discrepancies to ensure that corrections, if applicable are made to each plan.
Corrects all log errors as they occur in a timely and satisfactory manner.
Documents all actions in note screen of Patient Accounting system.
Has a good understanding of all insurance regulations and requirements for accurate maintenance of the cost payer logs.
Posts allowed adjustments as needed to assigned accounts.
Directs any problems with accounts or where additional intervention is needed to management for resolution.
Contact third party payers when changes occur in the reimbursement amount to determine of corrections need to be made in the discount.
Other duties as assigned