Patient Billing & Collections Specialist

Talentify; Brentwood (TN); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Sign-on bonus

Career growth

Competitive compensation

Excellent health benefits

401k with company match

Paid time off

Job summary

Universal Health Services (UHS) CCS is seeking a Revenue Cycle/Claims Specialist to process insurance claims for assigned facilities and to collect payments from insurers and patients. The role requires collaboration with insurance agencies, facilities, and patients to resolve issues and ensure timely reimbursement.

The ideal candidate will have strong communication, attention to detail, and a proactive approach to resolving claim-related problems.

Qualifications

• Understanding billing requirements for commercial payers and Medicaid.
• Understanding of Explanation of Benefits and remittance advice.
• Familiar with UB04 and CMS 1500 claim forms.
• Proficient with Microsoft Excel and Word.
• Professional and courteous interaction with patients and coworkers.

Responsibilities

• Process filing for assigned claims and follow up daily to prevent denials.
• Research insurance communications and correct as needed for proper payment.
• Follow up on denials and perform re-bill requests when required.
• Explain benefits to patients and collect payments, arranging plans if needed.
• Monitor eligibility and reimbursement, respond to inquiries from patients and insurers.
• Handle projects related to timely reimbursement and contact third-party payers.

Skills

Billing & claims knowledge

EOB understanding

Communication skills

Professionalism

Customer interaction

Education

High School diploma or GED

Vocational/technical training (preferred)

Tools

Microsoft Excel

Microsoft Word

Job description

Universal Health Services (UHS) CCS is seeking a Revenue Cycle/Claims Specialist to process insurance claims for assigned facilities and to collect payments from insurers and patients. The role requires collaboration with insurance agencies, facilities, and patients to resolve issues and ensure timely reimbursement.

The ideal candidate will have strong communication, attention to detail, and a proactive approach to resolving claim-related problems.