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
Excellent Medical, Dental, Vision and Prescription Drug Plan.
401k plan with company match
Generous Paid Time Off
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.
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.
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