REIMBURSEMENT SPECIALIST

Responsibilities

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.

Key Responsibilities include :

• 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

Benefit Highlights

Qualifications

Position Requirements :

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.