Universal Health Services, Inc. (UHS)
Malvern, PA, United States
At Independence Physician Management (IPM a subsidiary of UHS Inc.) we are looking for exceptional people who share our vision and values, who share our focus on hard work, enthusiasm, teamwork, loyalty, trust and cooperation. We've embraced these traits and built a team of employees who consistently work to achieve the highest level of service excellence. People are our most valuable resource at IPM as we are committed to providing high quality acute care and behavioral health services to residents of the communities we serve. We are equally committed to offering our employees unlimited opportunity in an environment that encourages professional development.
The Billing Clerk is responsible for the accurate and timely submission of professional billing paper claims and any necessary attachments. This includes supporting medical documentation to meet payer guidelines, explanation of benefits (EOBs) for secondary/tertiary claims when electronic submission is not an option, exhaustion of auto benefits letters, and any payer specific forms that must accompany the claim to process for payment. Meets or exceeds established performance targets (productivity and quality) established by the Billing Supervisor. Ships and receives product and supplies, sort, distributes and handles incoming and outgoing mail (USPS, shipping services e.g. FedEx, courier). Maintains postage meter and service logs. Prepares transactional paper batches for scanning timely to support ease of access to CBO employees. Tracks inventory of supplies needed for paper claims and submits orders following CBO approval guidelines.
Handles daily generation and sorting of paper claims to maximize efficiency.
Retrieval of medical documentation, explanation of benefits (EOBs), correspondence and forms from the Practice Management System (PMS) or any other system or documentation repository for the purpose of submitting with a professional claim to meet payer requirements.
Timely and accurate attachment of EOBs, medical documentation, correspondence and forms to paper claims. Reviews accuracy of paper claim information against the attachment to include date of service and provider of service “match”. Escalates to Supervisor as needed when inaccuracies are identified. Mails claims daily to minimize lag times/days. Meets or exceeds established performance targets (productivity and quality) established by the Billing Supervisor.
Prepares and scans transactional paper batches (e.g. manual charge entry) to a designated local drive folder timely and accurately for ease of review and/or retrieval by CBO staff.
Receives and distributes all packages and mail to include USPS, shipping services (e.g. FedEx and courier to ensure timely and accurate receipt by CBO departments/staff. Researches and forwards mail accordingly when delivered to the CBO in error.
Processes all outgoing mail to include USPS, shipping services (e.g. FedEx) and courier to ensure accurate and timely receipt to the addressee. Maintains postage meter and logs. Orders shipping service supplies.
Conducts research on bad patient addresses following established CBO “best practice”. Works with the IPM CBO Payer Relations Representative on returned mail with incorrect payer addresses. Ensures returned mail is sent out with the correct payer address timely.
Performs other duties as assigned
: High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred.
Minimum (1-3 years) experience in billing office. Health insurance or equivalent operations work environment.
Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements. Understanding of the revenue cycle and how the various components work together preferred.
Excellent organization skills and attention to detail. Ability to work with large volumes of mail. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Demonstrated competency in basic computer skills.
Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable. Microsoft skills preferred.
If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online. Independence Physician Management offers competitive compensation commensurate with experience and benefit programs including medical, dental, life insurance, and 401(k).
Independence Physician Management 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 IPM 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 Independence Physician Management. No fee will be paid in the event the candidate is hired as a result of the referral or through other means.
Universal Health Services, Inc. (UHS)
Website : https://www.uhsinc.com