Insurance Underpayments Specialist

UHS; Richmond (VA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation

401(k) with company match

SoFi student loan refinancing program

Pet Insurance

Career development opportunities

Job summary

Universal Health Services is seeking an Insurance Underpayments Specialist for the Atlantic Region Central Billing Office (ARCBO). The role focuses on resolving over- and under-payment discrepancies on paid accounts, reviewing PRMs, and supporting contract compliance.

Attention to detail and strength in payer regulations are essential. The position includes responsibility for documenting actions in the Patient Accounting system, coordinating with third-party payers, and escalating issues to

Qualifications

• Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies.
• Understands complex managed care agreements.
• Clear written and verbal communication with internal/external customers.

Responsibilities

• Respond to manager's requests in a timely manner.
• Recognize variances in payments from all third party carriers.
• Advise manager on discrepancies to ensure corrections are made.
• Correct log errors as they occur in a timely and satisfactory manner.
• Document all actions in the Patient Accounting system.
• Understand insurance regulations for accurate maintenance of cost payer logs.
• Post allowed adjustments as needed to assigned accounts.
• Direct problems to management for resolution.
• Contact third party payers when changes occur in reimbursement amounts to determine corrections.
• Other duties as assigned.

Skills

Payer claims processing

Contract analysis

Communication skills

Education

High school diploma or equivalent

1–3 years contract analysis experience

Tools

Microsoft Office

Job description

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.

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.

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

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

Qualifications

• 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.