Senior Billing Specialist - Medicaid

Davita Inc.; Richmond (VA); On-site; USD 50,000 - 75,000; Full time

Job summary

Davita Inc. is seeking a Senior Medicaid Billing Specialist to manage the timely and accurate submission of claims to third-party payers. With responsibilities spanning billing processes, claim adjustments, and training new staff, this role is pivotal in ensuring financial accuracy in healthcare services. Ideal candidates will have experience in medical billing, a keen attention to detail, and strong communication skills.

Benefits

Competitive Compensation & Generous Paid Time Off

Excellent Medical, Dental, Vision and Prescription Drug Plans

401(K) with company match and discounted stock plan

Career development opportunities within UHS

Qualifications

• 1-3 years medical billing experience required, 3-5 years preferred.
• Experience with Medicare, Medicaid, and medical terminology preferred.
• 1-3 years healthcare business office experience preferred.

Responsibilities

• Complete all third party electronic and manual billing timely and accurately.
• Resolve issues associated with incomplete claims including follow-up.
• Assist with new hire training and support department operations.

Skills

Attention to detail

Customer focus

Microsoft Excel

10 key data entry

Oral communication

Written communication

Education

High School Diploma or equivalent

Associate's degree

Job description

Responsibilities

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 $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 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.

Atlantic Region CBO (uhs.com)

The Atlantic Region CBO is seeking a dynamic and talented Senior Medicaid Billing Specialist.

The primary responsibility of the Senior Medicaid Billing Specialist is the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures while remaining adaptable to the needs of the department.

Key Responsibilities include:

• Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations and is able to pick up additional worklists as needed
• Completes all payer specific edits identified through the billing system.
• Resolves issues associated with incomplete claims including follow up of non transmitted claims
• Submit adjustment claims to Medicare/Medicaid through use of online systems
• Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records.
• Bulk mails all manual claims to individual payers daily
• Works all daily reports as assigned including high dollar worklists and high dollar reports for Central and East facilities. Reviewing Medical Necessity holds for facility review to ensure completion of billing.
• Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems
• Completes all monthly required in-services and educational training as required.
• Leverages knowledge and experience to assist with new hire training and question periods to ensure new hires are successful
• Takes on additional responsibilities such as open alpha splits for morning claims, complete transplant workload and other special projects.
• Supports department by assisting with Team Lead duties as necessary
• Assists the department with end of the month functions as needed
• Other duties as assigned

Benefit Highlights

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

Contact Information:

• Nicole Baez
• HR Coordinator/Recruiter
• [e-mail]

Qualifications

Position Requirements:

• High School Diploma or equivalent required. Associate's degree preferred
• 1-3 years medical billing experience required; 3-5 years preferred
• Experience with Medicare, Medicaid, Blue Cross Blue Shield and medical terminology 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.
• 1-3 years healthcare business office experience preferred.

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 and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.