BILLING ANALYST

The billing and reimbursement specialist works with partner hospital to provide coding and reimbursement expertise for behavioral health inpatient and outpatient programs across multiple specialties. This positions primary focus is to resolve payer contract payment variances and make recommendations to improve appropriate reimbursement collection.

• Researches and resolves accounts inappropriately reimbursed based on contractual terms in order to enhance reimbursement opportunity with insurance carriers.
• Recommends financial revenue, system functionality and other opportunities for improvement based on review of accounts and system workflow such as contract model usage, modifier usage, EMR workflow, and code assignments.
• Maintains positive working relationships with internal and external stakeholders and partners with customer departments such as, PFS, Coding, HIM, Accounting, etc.
• Recognizes and communicates trending payer issues to leader in a timely manner in order for immediate escalation and resolution.
• Advises staff on resolution of patient and/or payer specific issues encountered during review of contract variances as necessary.
• Maintains competency in functional area assigned through daily work processes, professional development, literature review, seminars, networking, etc.
• Ensures processes support most efficient manner in order to reduce re-work and multiple touches of accounts.
• Creates Excel reports based on payer trending issues and monitors for resolution.
• Maintains and researches accounts assigned to Recovery Summary log, IME log and payer projects.
• Provides presentations to customers and other internal and external stakeholders as necessary.
• Prioritizes work in order to effectively reduce volume and meet deadlines.
• Performs other duties as assigned/required by this position.

EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice
At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: 972-420-8200.

Benefit Highlights for full-time positions:

Competitive Compensation

Excellent Medical, Dental, Vision, and Prescription Drug Plan

401(K) with company match and discounted stock plan

Long and Short-term Disability

Flexible Spending Accounts; Healthcare Savings Account

Life Insurance

Career development opportunities within the company

Tuition Assistance

Rewarding work environment - Enjoy going to work every day!

Bachelor's Degree.

Minimum three years of experience in billing.

Requires analytical skills in order to recognize and resolve issues in a timely manner.

Experience working in the Healthcare field is highly preferred.

Excellent time management skills are required.

Possesses skills in critical thinking, problem solving, interpretation and evaluation of complex information.

Demonstrated ability to research, analyze and interpret state/federal regulations related to health insurance and healthcare.

Ability to communicate both verbally and in writing to effectively convey ideas and results.

Insurance billing experience is highly preferred.

Ability to work independently with minimal supervision while maintain an effective collaborative working relationship with peers and support staff.