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REIMBURSEMENT SPECIALIST/ANALY

UHSLas Vegas, NV
Onsite

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. The Reimbursement Specialist Analyst analyzes reimbursement trends and identifies underpayments, facilitates reconsiderations, and appeals with payers. This role coordinates and oversees the complete process of underpayment reconsiderations, including correction of insurance plan errors, payment transfers, and account adjustments.

Requirements

  • 2 + years medical contracts and claims experience.
  • High School or equivalent.
  • Experience in medical payer contracts.
  • Explanation of benefits experience preferred.
  • Articulate with medical insurance terminology.
  • Strong attention to detail, analytical and critical thinking.
  • Strong Microsoft Office (Excel and Word) and 10-key data entry skills.

Nice To Haves

  • Explanation of benefits experience

Responsibilities

  • Analyzes reimbursement trends and identifies underpayments.
  • Facilitates reconsiderations and appeals with payers.
  • Coordinates and oversees the complete process of underpayment reconsiderations, including correction of insurance plan errors, payment transfers, and account adjustments.

Benefits

  • Competitive Compensation
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401k plan with company match
  • Growth and Development Opportunities within UHS and its Subsidiaries

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