Insurance Follow Up Specialist

UHS; Richmond (CA); On-site; USD 40,000 - 56,000; Full time

Job summary

Universal Health Services (UHS) in the Atlantic Region seeks an Insurance Follow Up Specialist to manage patient and third-party accounts receivable follow-up and resolution. You will work with major payers to resolve claims issues, maintain HIPAA compliance, and support cash flow.

The role emphasizes accurate documentation, timely payments, and collaboration with teammates to meet departmental goals. Prior experience in healthcare billing is preferred.

Qualifications

• Minimum 1 year of experience in an office setting.
• Knowledge of managed care payers and medical terminology preferred.
• Ability to learn quickly, build long-term relationships, and work with minimal supervision.
• Detail-oriented with ability to manage multiple priorities.
• Proficient in Microsoft Office and Windows.
• Strong written and verbal communication skills.
• Gathers and analyzes information skillfully.

Responsibilities

• Perform follow up activities on accounts to ensure prompt payment.
• Identify coding or billing errors from EOBs and correct them.
• Update the patient account record to reflect actions taken.
• Adhere to HIPAA guidelines and department policies.
• Identify trends and payer issues; report to Team Lead or Supervisor.
• Participate in continuing education to stay current with healthcare changes.
• Organize and prioritize tasks to meet deadlines.
• Contribute to team effort by achieving related results as needed.
• Assist in increasing cash flow by reducing AR aging.
• Promote teamwork to meet department goals.

Skills

Payer rules

Medicare/Medicaid

Medical terminology

Microsoft Office

Negotiation

Communication

Time management

Analytical skills

Job description

Responsibilities

Atlantic Region CBO:

The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.

https://jobs.uhs.com/atlantic-region-cbo

The Atlantic Region CBO is seeking a dynamic and talented Insurance Follow Up Specialist.

The Insurance Follow Up Specialist is responsible for the follow up and resolution of patient and third party accounts receivable balances.

Knowledge of third party payer rules and regulations including Medicare, Medicaid, Blue Cross Blue Shield and medical terminology. Develops strong working relationships with major payers to assure timely resolution of claims processing issues. The ability to communicate clearly and concisely both verbally and in writing. Customer focused, providing service consistently exceeding expectations to both internal and external customers. Proficiency in Microsoft Office applications, collection tactics and negotiation skills. Ability to prioritize needs and to manage resources. Can perform basic mathematical calculations and balance and recognize figures.

Key Responsibilities include:

• Perform follow up activities on accounts to ensure prompt payment
• Identify coding or billing errors from EOBs and work to correct them
• Update the patient account record to identify actions taken
• Adhere to all HIPAA guidelines as well as various policies and guidelines
• Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor
• Pursue and participate in education to remain current with changes in the Healthcare industry
• Organize and prioritize tasks to meet deadlines
• Contribute to team effort by accomplishing related results as needed
• Assist with increasing cash flow by decreasing our Account Receivables aging account
• Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives

Benefit & Rewards Highlights:

• 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!
• Pet Insurance
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

Qualifications

Position Requirements:

• Minimum 1 year of experience in an office setting highly preferred
• Knowledge of managed care payers and medical terminology is preferred
• Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
• Detail-oriented with the ability to work on multiple, competing, priorities
• Proficient in Microsoft Office and Windows products.
• Strong written and verbal communication skills; strong analytical, organizational and time management skills required
• Gathers and analyzes information skillfully

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.