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Senior Commercial Billing Specialist

Company: Universal Health Services
Location: Richmond
Posted on: February 16, 2020

Job Description:

One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

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

The primary responsibility of the Senior 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

    Job Requirements

    Position Requirements:

    This position must have knowledge of third party payer rules and regulations including Medicare, Medicaid, Blue Cross Blue Shield and medical terminology. The ability to communicate clearly and concisely both verbally and writing. Customer focused, providing service consistently exceeding expectations to both internal and external customers. Proficiency in Microsoft Office applications and others as required. Ability to prioritize needs and to manage resources. The ability to consistently trend issues that may arise in the workflow is required. Must consistently go above and beyond expectations in the practice of Service Excellence. High school diploma or equivalent and 3-5 years billing experience preferred. Independent judgement necessary.

    This opportunity provides the following:

    • Challenging and rewarding work environment
    • Growth and development opportunities within UHS and its subsidiaries
    • Competitive Compensation
    • Excellent Medical, Dental, Vision and Prescription Drug Plan
    • 401k plan with company match
    • Generous Paid Time Off

      If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online. UHS offers competitive compensation commensurate with experience and benefits programs including medical, dental, life insurance and 401k.

      UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

      UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

Keywords: Universal Health Services, Richmond , Senior Commercial Billing Specialist, Accounting, Auditing , Richmond, Virginia

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