Insurance Underpayments Specialist

Universal Health Services; Richmond (VA); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Competitive compensation

Paid time off

Medical, dental, vision plans

401(k) with company match

Job summary

Universal Health Services is seeking an Insurance Underpayments Specialist - Central in the Atlantic Region Central Billing Office. The role focuses on resolving over and underpayment discrepancies on paid accounts and assisting in contract review.

The candidate will document actions in the Patient Accounting system and stay updated on insurance regulations. A high school diploma and related experience are preferred, with opportunities for professional growth within UHS.

Qualifications

• Understanding payer claims processing principles.
• Knowledge of managed care contracts.
• Strong written and verbal communication skills.
• Customer-focused, providing service consistently.

Responsibilities

• Respond to manager's requests in a timely manner.
• Recognize variances in payments from third party carriers.
• Advise on discrepancies to ensure corrections are made.
• Post adjustments as needed to assigned accounts.
• Document actions in patient accounting system.

Skills

Payer claims processing

Managed care agreements

Communication

Customer service

Microsoft Office

Education

High school diploma

Tools

Patient Accounting system

Job description

Responsibilities

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 Underpayments Specialist - Central

The primary responsibility of the Insurance Underpayments Specialist is the resolution of over and underpayment discrepancies on paid accounts. Assists in review of the PRM and assures properly maintained. Actively participates in contract review. Completes other tasks and assignments in a timely manner.

Key Responsibilities include

• Respond to manager's requests in a timely manner.
• Able to recognize any variances regarding payments from all third party carriers.
• Advises manager on any discrepancies to ensure that corrections, if applicable are made to each plan.
• Corrects all log errors as they occur in a timely and satisfactory manner.
• Documents all actions in note screen of Patient Accounting system.
• Has a good understanding of all insurance regulations and requirements for accurate maintenance of the cost payer logs.
• Posts allowed adjustments as needed to assigned accounts.
• Directs any problems with accounts or where additional intervention is needed to management for resolution.
• Contact third party payers when changes occur in the reimbursement amount to determine of corrections need to be made in the discount.
• Other duties as assigned

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

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 during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies and in 2025, was listed in Forbes ranking of America's Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

From Fortune, 2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.

Qualifications

Position Requirements

• Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies.
• Understands complex managed care agreements.
• The ability to communicate clearly and concisely both verbally and writing.
• Customer focused, providing service consistently exceeding expectations to both internal and external customers.
• Proficiency in Microsoft Office applications and others as required.
• Ability to prioritize needs and to manage resources.
• High school diploma or equivalent and 1-3 years contract analysis experience preferred.

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.