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The Atlantic Region Central Billing Office (CBO) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Reimbursement Specialist / Analyst. The Reimbursement Specialist / Analyst is responsible for the resolution of accounts entered into the Audit, Denial and Accounts Receivable Systems.

Key responsibilities include:

• Ensuring a complete and transparent reporting of outcomes resulting from subsequent follow up including audits.
• Effectively tracking, trending, and assuring quality of all accounts by ensuring they are properly entered and tracked in all systems.
• Entering and following 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.
• Following up with payers on all tasks that are due.
• Working with payers and facilities to obtain decision letters, and additional information as required.
• Documenting in patient account notes as indicated.
• Working 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.
• Working with HIM, vendors and facility clinicians to correct deficiencies in a timely manner.
• Identifying problem accounts and trends. Escalating as appropriate.
• Working with insurance companies to secure payment on account balances outstanding.
• Properly documenting the patient account with actions taken to resolve issue.
• Meeting productivity standards and departmental goals and objectives.
• Other duties as assigned.

Benefit & Rewards 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!
• Pet insurance

Qualifications Position Requirements:

• 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.

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.

Avoid and Report Recruitment Scams: We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. 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.