Reimbursement Specialist

Responsibilities

Atlantic Region Central Billing Office (“ARCBO”) or (“CBO”) provides business office services including billing, collections, cash posting, pre‑access management, variance, and customer service to our 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:

• 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.
• Comprehend audit requests and select appropriate audit type.
• Understand 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.
• Route appeals relating to technical and clinical issues identified during the billing of claims, denial or receipt of audit. Work with HIM, vendors, and facility clinicians to correct deficiencies in a timely manner; identify problem accounts and trends.
• Escalate as appropriate.
• Work with insurance companies to secure payment on account balances outstanding; properly document the patient account with actions taken to resolve issues.
• Meet productivity standards and departmental goals and objectives.
• Other duties as assigned.

• 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:

• 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; ability to multi-task; strong 10‑key data entry; and excellent written and oral communication skills are required.
• Familiarity and 1–3 years of healthcare business office experience preferred.

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.

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