Insurance Underpayments Specialist – Resolve Pay Discrepancies

Universal Health Services, Inc.; Richmond (VA); On-site; USD 52,000 - 64,000; Full time

Benefits offered by this job

Challenging and rewarding work环境

Competitive Compensation & Generous PT

Medical, Dental, Vision and Rx Plans

401(K) with company match and stock

SoFi Student Loan Refinancing Program

Career development opportunities

Pet Insurance

Job summary

Universal Health Services, Inc. seeks an Insurance Underpayments Specialist for the Atlantic Region Central Billing Office to resolve over and underpayments on paid accounts and assist in contract reviews.

You will document actions in the Patient Accounting system and advise on discrepancies to ensure corrections are made where needed. The role requires strong communication, knowledge of payer claims processing and insurance regulations, plus proficiency with Microsoft Office.

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.

Responsibilities

• 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

Skills

Payer claims processing

Microsoft Office

Prioritization & time management

Education

High school diploma or equivalent

1-3 years contract analysis experience preferred

Job description

Universal Health Services, Inc. seeks an Insurance Underpayments Specialist for the Atlantic Region Central Billing Office to resolve over and underpayments on paid accounts and assist in contract reviews.

You will document actions in the Patient Accounting system and advise on discrepancies to ensure corrections are made where needed. The role requires strong communication, knowledge of payer claims processing and insurance regulations, plus proficiency with Microsoft Office.