Patient Billing & Accounts Specialist

Universal Health Services; Madera (CA); On-site; USD 42,000 - 66,000; Full time

Job summary

Universal Health Services is seeking a Patient Account Representative to manage electronic and manual billings, follow up with payers, and prepare daily cash receipts. The role covers preparation of TAR forms, denial management, and maintaining logs for timely follow-up, all within a hospital office setting.

The candidate should have at least two to three years in hospital/insurance billing, strong computer skills, and the ability to meet productivity standards while maintaining accuracy and

Qualifications

• Two to three years' experience in hospital and/or insurance billing preferred.
• Combination of education, training, or experience in hospital business office required.
• Experience with patient accounts, computers, and multiple software programs required.
• May be required to work overtime and flexible hours.

Responsibilities

• Prepare all accounts for billing and ensure productivity standards are met.
• Submit insurance billings to primary and secondary payers.
• Prepare TAR forms for county authorization and billing.
• Transmit billings to third-party payers manually or electronically as requested.
• Contact third-party payers at 30-day intervals after billing to confirm receipt and processing.
• Contact third-party payers at least twice every 30 days for payment status.
• Respond to correspondence within 72 hours of receipt.
• Maintain tickler/aging system for prompt follow-up on billing cycles.
• Document contacts on a productivity log.
• Change financial class of accounts when secondary insurance is billed.
• Complete denial notification when payments are denied and document accordingly.
• Maintain up-to-date Midas upon denials; provide denial documentation to UM.
• Prepare billing reports as required by the department.
• Review records and UBS for accuracy with third-party payers.
• Provide follow-up on appeals progress and prepare required documentation.
• Maintain Medicare and Medicaid statistical logs and databases.
• Prepare departmental billing and statistical reports as required.
• Provide back-up support for other business office teammates.
• Adhere to facility, department, corporate, personnel, and standard policies.
• Attend mandatory facility in-services and staff development activities.
• Adhere to conduct, dress, attendance, and punctuality standards.
• Support facility-wide quality/improvement goals and confidentiality of information.
• Note: The essential job functions are not limited to the duties listed.

Skills

Hospital billing

Insurance billing

Accounts receivable

Customer service

Data entry

Multitasking

Attention to detail

Communication

Education

High school graduate

Tools

Midas

Billing software

Computers and software

Job description

Universal Health Services is seeking a Patient Account Representative to manage electronic and manual billings, follow up with payers, and prepare daily cash receipts. The role covers preparation of TAR forms, denial management, and maintaining logs for timely follow-up, all within a hospital office setting.

The candidate should have at least two to three years in hospital/insurance billing, strong computer skills, and the ability to meet productivity standards while maintaining accuracy and