Patient Accounts Specialist - Denials Department

Responsibilities

Western Region CBO

The Western Region Consolidated Business Office provides business office services including: billing, collections, cash posting, pre‑access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team.

The Patient Accounts Specialist/Denials is responsible for the follow up and resolution of Commercial, Managed Care and third‑party insurance accounts receivable balances.

• 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
• Responsible for the maintenance and processing of patient accounts and hospital insurance collections
• Ensuring timely and accurate payment from Insurance carriers
• Review payer EOB to determine appropriate follow up based on internal procedures
• Utilize Cobius to review and track the life of a denial
• Checks claim status via online and through the Payor Portals
• Checks eligibility and updates the insurance Iplan based on verified insurance coverage
• Works on payer based spreadsheets, communicates trends to leadership
• Participates on payer conference calls, trend analysis and meeting daily, weekly and department quotas
• Handles a variety of payers with the proven ability to multitask

Education: High School or equivalent.

Experience: 1‑3 years healthcare/collection experience and/or equivalent experience in a hospital setting.

• Completes third party follow up on outstanding insurance claims through contact with the payers.
• Completes incoming correspondence from insurance companies.
• Identify and track root cause payer issues in an attempt to resolve.
• Works through coding or billing issues by working EOB's to correct the errors in a timely manner.
• Escalate problem accounts to management team of department for assistance and resolution.
• Properly documents the patient account of all steps taken to resolve the balance.
• Work with facility and internal departments of the CBO to investigate and resolve issues associated with insurance company inquiries.
• Works all daily, weekly and monthly reports as assigned.
• Completes all required monthly in-services and educational training as required.
• Other duties as assigned.

• Demonstrated knowledge of insurance billing relating to patient reimbursement insurance follow up.
• 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 insurance collections and 1‑3 years healthcare business office experience preferred.

• Computer proficiency to include word processing, spreadsheet, database, and patient accounting system.
• Strong Microsoft Office Skills (Excel, Word, Outlook)

• 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

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. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. 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.

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, age, sex (including…