PATIENT ACCOUNTS REP

UHS; Brentwood (TN); Vor Ort; USD 42.000 - 60.000; Vollzeit

Benefits dieser Stelle

Competitive pay

Medical plan

Dental plan

Vision plan

Prescription drug plan

401k with match

Paid time off

Growth opportunities

Zusammenfassung

Universal Health Services, Inc. seeks a Revenue Cycle Claims Specialist to process insurance claims for assigned facilities, collect payments, and ensure timely reimbursement. The role requires strong communication, attention to detail, and collaborative problem solving with insurers, facilities, and patients.

You will follow up on denials, assist with payment plans, review EOBs, and support ongoing revenue cycle improvements in a fast-paced healthcare environment.

Qualifikationen

• High School graduate or GED required; vocational/technical preferred.
• 1–3 years related experience; 3–5 years preferred.
• Understanding of billing requirements for commercial payers and Medicaid.
• Familiarity with UB04 and CMS-1500 claim forms.
• Knowledge of Microsoft Excel and Word.
• Basic medical coding and third-party operating procedures.

Aufgaben

• Process filing for all assigned claims and follow up daily to minimize denials.
• Review insurance correspondence and correct claims to ensure proper payment.
• Follow up on denials promptly; handle re-bill requests as needed.
• Explain benefits to patients and collect payments; discuss payment plans when needed.
• Monitor eligibility of benefits and review EOBs for accurate reimbursement.
• Conduct projects to obtain timely reimbursement and contact third-party payers or patients as needed.

Kenntnisse

Communication skills

Attention to detail

Collaboration

Professional demeanor

Ausbildung

High School Diploma or GED

Tools

Microsoft Excel

Microsoft Word

Jobbeschreibung

CCS (a UHS company) 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 were $12.6 billion in 2021. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 89,000 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 all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Position Summary

This position is responsible for processing insurance claims for assigned facilities in a timely manner. This position ensures review and collecting of payments from insurance agencies and patients for the assigned facilities. This position requires collaboration between the insurance agencies, the facility, and the patient in resolving any problems that may occur during each Revenue Cycle. Success in this position is driven by strong communication skills, a proactive approach to resolving claim-related issues, and the ability to maintain a courteous and professional demeanor when interacting with patients, coworkers, and external agencies. The ideal candidate brings adaptability, attention to detail, and a collaborative mindset to ensure smooth and efficient operations throughout the Revenue Cycle.

Essential Duties And Responsibilities

• Processes the filing for all assigned claims. Ensures requirements are met and claims are followed-up on daily to eliminate denials and non-payment of claims.
• Reviews and conducts research on insurance correspondence and makes necessary corrections to ensure appropriate claims payment.
• Conducts research and follow-up on denials in a timely manner and proactively communicates any denial issues related to billing requirements. Completes re-bill request as necessary to facilitate timely and proper claims payment.
• Contact and explain insurance benefits and collect payments to patients. Resolve any issues related to the patient accounts and negotiate any overdue balance to recover payments form patients. Assist patients with terms for payment plans when necessary.
• Monitors contracts and single patient agreements to ensure appropriate reimbursement is received. Reviews each eligibility of benefits (EOB) for proper reimbursement and answer inquiries and correspondence from patients and insurance companies to facilitate payment.
• Manages assigned projects related to obtaining appropriate and timely reimbursement of outstanding claims and performs various collection actions including contacting third party payers or patients by phone

This Opportunity Provides The Following

• UHS is Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan.
• 401k plan with company match
• Generous Paid Time Off

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.

Requirements

Qualifications

• High School Graduate/GED Required Vocational Technical School Graduate preferred
• 1-3 Years Related work experience required, 3-5 years preferred
• Understanding of billing requirements for commercial payers and Medicaid.
• Understanding of Explanation of Benefits – Remittance Advice
• Understanding of both UB04 claim form, CMS 1500 claim form.
• Knowledge of Microsoft, Excel, Word.
• Knowledge of basic medical coding and third-party operating procedures and practices 6. Effectively interact with patients and co-workers in a professional, courteous manner

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. We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS