Apply on Employer Site

UHS · 3 days ago

Senior Commercial Billing Specialist

Richmond, VA

Full-time

Onsite

Mid, Senior Level

3+ 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 Senior Commercial Billing Specialist responsible for the accurate and timely processing of claims to third-party payers, ensuring compliance with policies and procedures while supporting department needs.

Health CareHospitalMedicalPersonal Health

Responsibilities

Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations and is able to pick up additional worklists as needed

Completes all payer specific edits identified through the billing system

Resolves issues associated with incomplete claims including follow up of non transmitted claims

Submit adjustment claims to Medicare/Medicaid through use of online systems

Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records

Bulk mails all manual claims to individual payers daily

Works all daily reports as assigned including high dollar worklists and high dollar reports for Central and East facilities. Reviewing Medical Necessity holds for facility review to ensure completion of billing

Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems

Completes all monthly required in-services and educational training as required

Leverages knowledge and experience to assist with new hire training and question periods to ensure new hires are successful

Takes on additional responsibilities such as open alpha splits for morning claims, complete transplant workload and other special projects

Supports department by assisting with Team Lead duties as necessary

Assists the department with end of the month functions as needed

Other duties as assigned

Qualification

Medical billing experienceMedicare experienceMedicaid experienceBlue Cross Blue Shield experienceMicrosoft Office skillsMulti-taskingData entryAttention to detailCommunication skills

Required

High School Diploma or equivalent required

1-3 years medical billing experience required

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