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 Reimbursement Team Lead.
The Reimbursement Team Lead will be responsible for the resolution of edits, coordination and completion of audits, education of Business Office and Facility staff related to charging and billing issues and the review of denial trends and high charge stays for billing accuracy.
Key Responsibilities Include:
Analyze and resolve patient claims being held by edits that require clinical or charging expertise.
Interact with Facility departments to obtain information needed to properly bill an account based on the medical record.
Identify all coding, clinical and charging documentation issues and assist Facility departments to resolve issues.
Review unbilled items, denial trends and high charge procedures and address issues timely and accurately.
Serve as the liaison between the Business Office, Facility Administration and Managers about revenue and compliance issues.
Adheres to all applicable laws, regulations and guidelines.
Provides initial and ongoing training to staff to ensure policies and procedures are followed.
Assist with staff communication, providing updates, resolving issues, setting goals and maintaining standards.
Answer questions and assist staff with day to day issues.
Monitor daily productivity of each Refund/Variance Analyst to assure defined goals and objectives of department are met.
Completes assigned audits by analyzing information and researching documentation. Recommends improved workflow and makes appropriate changes based on audit findings.