Medicare Billing Specialist

UHSRichmond, VA
18d

About The Position

Atlantic Region CBO: 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. https://jobs.uhs.com/atlantic-region-cbo The Atlantic Region CBO is seeking a dynamic and talented Medicaid Billing Specialist. The Medicaid Billing Specialist is responsible for the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures. About Universal Health Services: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquarters in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Requirements

  • High School Diploma or equivalent and 1-3 years billing 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 with medical billing and 1-3 years healthcare business office experience preferred.

Responsibilities

  • Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations.
  • Completes all payer specific edits identified through the billing system.
  • Resolves issues associated with incomplete claims including follow up of non-transmitted claims.
  • Submit adjustment claims to Medicaid through use of online systems.
  • Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records.
  • Bulk mails all manual claims to individual payers daily.
  • Works all daily reports as assigned.
  • Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems
  • Completes all monthly required in-services and educational training as required.
  • Other duties as assigned
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