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.
The Atlantic Region CBO is seeking a dynamic and talented Senior Medicare Billing Specialist.
The primary responsibility of the Senior Billing Specialist is the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures while remaining adaptable to the needs of the department.
Key Responsibilities include:
Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations and is able to pick up additional worklists as needed
Completes all payer specific edits identified through the billing system
Resolves issues associated with incomplete claims including follow up of non transmitted claims
Submit adjustment claims to Medicare/Medicaid through use of online systems
Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records.
Bulk mails all manual claims to individual payers daily
Works all daily reports as assigned including high dollar worklists and high dollar reports for Central and East facilities. Reviewing Medical Necessity holds for facility review to ensure completion of billing.
Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems
Completes all monthly required in-services and educational training as required.
Leverages knowledge and experience to assist with new hire training and question periods to ensure new hires are successful
Takes on additional responsibilities such as open alpha splits for morning claims, complete transplant workload and other special projects.
Supports department by assisting with Team Lead duties as necessary
Assists the department with end of the month functions as needed