Reimbursement Specialist / Analyst

UHS • Richmond, VA

44d

About The Position

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 $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 96,700 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. Atlantic Region CBO (uhs.com) 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.

Requirements

• High school diploma or equivalent and 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.

Responsibilities

• 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.
• 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

Benefits

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees