Reimbursement Analyst — Impactful Healthcare Billing

Arbour SeniorCare; Richmond (VA); On-site; USD 55,000 - 75,000; Full time

Job summary

Universal Health Services' Atlantic Region Central Billing Office (ARCBO) seeks a dynamic Reimbursement Specialist/Analyst to support billing, auditing, denials and accounts receivable across affiliated hospitals. This role involves resolving accounts in Audit, Denial and AR systems, tracking outcomes, and documenting actions.

You will follow up with payers, work with Appeals staff on denials, keep patient notes, and strive to meet productivity goals while ensuring accurate reporting and timely

Qualifications

• High school diploma or equivalent and 1-3 years healthcare experience preferred.
• Strong Microsoft Office skills (Excel, Word, Outlook); customer focused both internally and externally, strong attention to detail, the ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required.
• Familiarity and 1-3 years healthcare business office experience preferred.

Responsibilities

• To ensure a complete and transparent reporting of outcomes resulting from subsequent follow up including audits.
• To effectively track, trend, and assure quality of all accounts by ensuring they are properly entered and tracked in all systems.
• Enter and follow up on audit accounts that are received by the CBO.
• Ability to comprehend audit requests and select appropriate audit type.
• Understanding of financial information for the account.
• As the audit progresses through the process, complete the updates and determine how to proceed with accounts that require action.
• Follow up with payers on all tasks that are due.
• Work with payers and facilities to obtain decision letters, and additional information as required.
• Document in patient account notes as indicated.
• Work with Appeals staff for resolution on denied accounts.
• Responsible for routing appeals relating to technical and clinical issues identified during the billing of claims, denial or receipt of audit. Works with HIM, vendors and facility clinicians to correct deficiencies in a timely manner Identify problem accounts and trends.
• Escalate as appropriate.
• Works with insurance companies to secure payment on account balances outstanding Properly documents the patient account with actions taken to resolve issue.
• Meet productivity standards and departmental goals and objectives.
• Other duties as assigned

Skills

Attention to detail

Multitasking

Written communication

Oral communication

Microsoft Office

Education

High school diploma or equivalent

Tools

Excel

Word

Outlook

10-key data entry

Job description

Universal Health Services' Atlantic Region Central Billing Office (ARCBO) seeks a dynamic Reimbursement Specialist/Analyst to support billing, auditing, denials and accounts receivable across affiliated hospitals. This role involves resolving accounts in Audit, Denial and AR systems, tracking outcomes, and documenting actions.

You will follow up with payers, work with Appeals staff on denials, keep patient notes, and strive to meet productivity goals while ensuring accurate reporting and timely