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UHS · 21 hours ago

Reimbursement Specialist

Richmond, VA

Full-time

Onsite

Entry Level

1+ years exp

Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. They are seeking a dynamic and talented Reimbursement Specialist/Analyst responsible for the resolution of accounts in the Audit, Denial and Accounts Receivable Systems, ensuring proper tracking and management of audit accounts and collaborating with payers and facilities for timely resolutions.

Health CareHospitalMedicalPersonal Health

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

Qualification

Healthcare experienceMicrosoft OfficeData entryCustomer serviceMulti-taskingAttention to detailWritten communicationOral communication

Required

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