REIMBURSEMENT SPECIALIST/ANALY

UHSLas Vegas, NV

About The Position

Universal Health Services (UHS) - Western Region Consolidated Business Office (WCBO) 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. Job Description: Reimbursement Analyst: Monday-Friday 7:00AM-3:30PM The Reimbursement Analyst is responsible for reviewing variance credits and securing credits after payments by working closely with medical insurance companies. This role examines contracts and identifies discrepancies between contract terms and paid claims. Investigates why insurance companies have overpaid claims and ensures accurate reimbursement through detailed contract analysis.

Requirements

  • 2+ years medical contracts and claims appeals.
  • High School or equivalent.
  • Experience in hospital acute care payer contracts.
  • Articulate with medical insurance terminology and explanation of benefits.
  • Strong financial acumen, analytical and critical thinking skills.
  • Strong Microsoft Office (Excel and Word) and 10-key data entry skills.

Responsibilities

  • reviewing variance credits
  • securing credits after payments by working closely with medical insurance companies
  • examines contracts and identifies discrepancies between contract terms and paid claims
  • investigates why insurance companies have overpaid claims
  • ensures accurate reimbursement through detailed contract analysis

Benefits

  • 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

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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