Billing Collections Specialist

Universal Health Services Newark , DE 19712

Posted 3 months ago

One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

Rockford Center is seeking a dynamic and talented Billing/Collections Specialist.

Rockford Center is Delaware's first private psychiatric facility and remains a leader in providing behavioral health care services and continues its commitment to providing quality health care. Rockford Center, a 138-bed acute psychiatric hospital continues to provide a full continuum of behavioral health services to geriatrics, adults, adolescents, and children.

The Billing/Collections Specialist will ensure the collection of payments owed to the hospital in a timely and accurate manner.

Key Responsibilities include:

  • Verifies Medicare benefits via the CWF and identifies potential financial issues timely. Informs Assessment Department and CBO Director of financial issues immediately upon identifying matter.

  • Verifies insurance benefits within a 24-hour time frame for all Inpatient and Partial Hospitalization admissions received during regular business hours. Weekend admissions should be verified no later than Monday of the following week.

  • Initiates phone calls to insurance companies to determine extent of coverage, certification requirements and other policy limitations, deductible and co-insurance.

  • Enters verification into the AS400 system, timely and accurately. Ensure that financial class and claim submission address is correct. Notes should be entered immediately following verification if patient is in-house.

  • Reviews all insurance information loaded by the Assessment and Referral Department for accuracy and completeness. Identify and rectify problems.

  • Notifies CBO Director of negative trends pertaining to payers.

  • Completes review of Admission packets in a timely manner.

  • Assists clients with re-activation of Delaware Medicaid benefits when applicable.

  • Notifies patients/guarantor of any financial responsibility via phone/letter and provides facility UP Front collections expectations.

  • Completes scanning of admission packages within 48hrs.

Position Requirements:

  • High School Diploma/GED, Associate's Degree in accounting or business preferred

  • Previous hospital billing experience required

  • Familiar with insurance coverages

  • Claims submission and follow-up to final resolution

  • Explanation of Benefits (EOB) reviews

  • Strong communication skills

  • Excellent customer service and organization skills

  • Strong ability to explain complex issues to third party payors

  • Highly effective listening skills

  • Strong problem solving/issue resolution skills

  • Experience with Microsoft Word and Excel

  • Ability to work in a team environment

  • Knowledge of billing systems (Emdeon MS4) preferred

This opportunity provides the following:

  • 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 (if applicable)

  • Generous Paid Time Off

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.

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Billing Collections Specialist

Universal Health Services