CUSTOMER SVC REP II - Government Department

Responsibilities

• Maintenance and processing of patient accounts
• Follow up and resolution of Commercial, Managed Care and third‑party insurance accounts receivable balances
• Assure all insurance codes and financial classes are correct in a precise and quality manner
• Properly document the patient account with actions taken to resolve the issue(s)
• Review payer EOB to determine appropriate follow up based on internal procedures
• Utilize Cobius to review and track the life of a denial
• Check claim status via online and through the Payer Portals
• Check eligibility and updates of the insurance plan based on verified insurance coverage

Requirements

• 3‑5 years healthcare/collection experience or equivalent experience in a hospital setting
• 2‑3 years claims collections experience in healthcare
• Preferably experience with Medicaid and Workers Compensation programs
• Acute care setting experience in a hospital or doctor's office (back office preferred)
• Demonstrated knowledge of insurance billing relating to patient reimbursement
• Communicates clearly and effectively to all levels of the organization

Qualifications

• High School diploma or equivalent

Skills

• Computer proficiency including word processing, spreadsheet, database, and patient accounting systems
• Microsoft Office Suite proficiency
• Ability to understand and read an EOB
• Typing speed of 55 WPM

Benefits

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive compensation
• Excellent medical, dental, vision and prescription drug plan
• 401(k) plan with company match