PATIENT ACCOUNTS REP

Foundations Recovery Network
Brentwood TN
30+ days ago

Job Description

Responsibilities

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom

Position Summary:

The patient account representative will be responsible for the collection of delinquent patient accounts and for the claims denial process from third party health insurance companies for all accounts in a designated territory.

This opportunity provides the following:

  • UHS is 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
Generous Paid Time Off

Essential Duties and Responsibilities:

Recoups insurance revenue, identifies payer trends, and resolves payment variances, requests for additional information and denials.
Monitors contracts and single patient agreements to ensure appropriate reimbursement is received.
Ensures timely filing requirements are met and claims are followed-up on in a timely and appropriate manner, to eliminate timely filing denials and non-payment of claims.
Responsible for any special projects related to obtaining appropriate and timely reimbursement of claims outstanding.
Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
Follows-up on denials in a timely manner and proactively communicates any denial issues related to billing requirements.
Follows-up on unpaid/unresolved account balances on a daily basis and notates follow-up response on patient accounts.
Completes re-bill request as necessary to facilitate timely and proper claims payment.
Performs various collection actions, including contacting third party payers or patients by phone and resubmission of claims for appeal process.
Evaluates patient financial status and establishes budget plans.


Qualifications

Knowledge, Skills, and Abilities:

Demonstrates thorough knowledge of patient account policies and procedures.
Understands and follows company guidelines for billing requirements for contracted and commercial payers.
Understands commercial compliance regulations related to healthcare billing and accounts receivable management and where to locate the regulations.
Demonstrates understanding of both UB04 and CMS 1500 claim forms.
Knowledge of medical billing/collection practices.
Knowledge of basic medical coding and third-party operating procedures and practices.
Demonstrates ability to work effectively with and interact with patients and co-workers in a professional, caring, and courteous manner adhering to FRN’s Mission and Statement of Values.

Education and Experience:

High School diploma or GED required.
Minimum of 2 years’ medical collection experience
Experience with paper and electronic claims filing

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

Source

https://www.indeed.com/jobs

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