Payer-Focused Insurance Follow-Up Specialist

UHS; Richmond (CA); On-site; USD 40,000 - 56,000; Full time

Job summary

Universal Health Services (UHS) in the Atlantic Region seeks an Insurance Follow Up Specialist to manage patient and third-party accounts receivable follow-up and resolution. You will work with major payers to resolve claims issues, maintain HIPAA compliance, and support cash flow.

The role emphasizes accurate documentation, timely payments, and collaboration with teammates to meet departmental goals. Prior experience in healthcare billing is preferred.

Qualifications

• Minimum 1 year of experience in an office setting.
• Knowledge of managed care payers and medical terminology preferred.
• Ability to learn quickly, build long-term relationships, and work with minimal supervision.
• Detail-oriented with ability to manage multiple priorities.
• Proficient in Microsoft Office and Windows.
• Strong written and verbal communication skills.
• Gathers and analyzes information skillfully.

Responsibilities

• Perform follow up activities on accounts to ensure prompt payment.
• Identify coding or billing errors from EOBs and correct them.
• Update the patient account record to reflect actions taken.
• Adhere to HIPAA guidelines and department policies.
• Identify trends and payer issues; report to Team Lead or Supervisor.
• Participate in continuing education to stay current with healthcare changes.
• Organize and prioritize tasks to meet deadlines.
• Contribute to team effort by achieving related results as needed.
• Assist in increasing cash flow by reducing AR aging.
• Promote teamwork to meet department goals.

Skills

Payer rules

Medicare/Medicaid

Medical terminology

Microsoft Office

Negotiation

Communication

Time management

Analytical skills

Job description

Universal Health Services (UHS) in the Atlantic Region seeks an Insurance Follow Up Specialist to manage patient and third-party accounts receivable follow-up and resolution. You will work with major payers to resolve claims issues, maintain HIPAA compliance, and support cash flow.

The role emphasizes accurate documentation, timely payments, and collaboration with teammates to meet departmental goals. Prior experience in healthcare billing is preferred.