Insurance Underpayments Specialist

About the role

The Atlantic Region Central Billing Office (“ARCBO”) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to affiliated Universal Health Services hospitals. The CBO is seeking a dynamic and talented Insurance Underpayments Specialist.

Key responsibilities

• Resolve over and underpayment discrepancies on paid accounts
• Assist in review of the PRM and assure properly maintained
• Actively participate in contract review
• Respond to manager's requests in a timely manner
• Recognize variances regarding payments from all third party carriers
• Advise manager on discrepancies to ensure corrections, if applicable, are made to each plan
• Correct all log errors as they occur in a timely and satisfactory manner
• Document all actions in note screen of Patient Accounting system
• Maintain good understanding of all insurance regulations and requirements for accurate maintenance of the cost payer logs
• Post allowed adjustments as needed to assigned accounts
• Direct problems with accounts or where additional intervention is needed to management for resolution
• Contact third party payers when changes occur in the reimbursement amount to determine if corrections need to be made in the discount
• Complete other duties as assigned

Qualifications

• Proactive, assertive, and articulates knowledge and understanding of payer claims processing philosophies
• Understands complex managed care agreements
• Ability to communicate clearly and concisely both verbally and in 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 manage resources
• High school diploma or equivalent and 1-3 years contract analysis experience preferred

Benefits

• 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