Universal Hospital Services Inc.
ACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLER
Universal Hospital Services Inc., Granite Heights, Wisconsin, United States
Responsibilities
About Texoma Care
Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region’s leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years.
The Accounts Receivable Specialist is responsible for the accurate and timely follow‐up of unpaid claims, by assigned payer(s) and defined aging criteria to meet or exceed collection targets and minimize write‑offs. Research claim denials by assigned payer(s) to determine reasons for denials, correcting and reprocessing claims for payment in a timely manner. Meets or exceeds established performance targets (productivity and quality) established by the A/R Supervisor. Initiates and follows up on appeals, recognizing the payer‑defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims, and maximize opportunities to enhance front‑end claim edits to facilitate first‑pass resolution. Identifies non‑collectable accounts and performs accurate and timely write‑offs (e.g. no authorization), adhering to IPM policy guidelines. Demonstrates the ability to be an effective team player. Upholds “best practices” in day‑to‑day processes and workflow standardization to drive maximum efficiencies across the team.
Benefits
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision, and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300+ Subsidiaries!
Qualifications
Education : High School Graduate/GED required. Technical School/2 Years College/Associate's Degree preferred.
Work experience : Experience (3–5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.
Knowledge : Healthcare (professional) billing, knowledge of CPT/ICD‑10 coding, government, managed care, and commercial insurance, claim submission requirements, reimbursement guidelines, and denial reason codes. An understanding of the revenue cycle and how the various components work together is preferred.
Skills and Abilities : Excellent organization skills, attention to detail, research, and problem‑solving ability. Results‑oriented with a proven track record of accomplishing tasks within a high‑performing team environment. Service‑oriented/customer‑centric. Strong computer literacy skills, including proficiency in Microsoft Office.
Equipment Operated : Mainframe billing software (e.g., Cerner, Epic, IDX) experience is highly desirable.
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.
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Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners, and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region’s leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient-focused care to the Texoma region for over 50 years.
The Accounts Receivable Specialist is responsible for the accurate and timely follow‐up of unpaid claims, by assigned payer(s) and defined aging criteria to meet or exceed collection targets and minimize write‑offs. Research claim denials by assigned payer(s) to determine reasons for denials, correcting and reprocessing claims for payment in a timely manner. Meets or exceeds established performance targets (productivity and quality) established by the A/R Supervisor. Initiates and follows up on appeals, recognizing the payer‑defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims, and maximize opportunities to enhance front‑end claim edits to facilitate first‑pass resolution. Identifies non‑collectable accounts and performs accurate and timely write‑offs (e.g. no authorization), adhering to IPM policy guidelines. Demonstrates the ability to be an effective team player. Upholds “best practices” in day‑to‑day processes and workflow standardization to drive maximum efficiencies across the team.
Benefits
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision, and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300+ Subsidiaries!
Qualifications
Education : High School Graduate/GED required. Technical School/2 Years College/Associate's Degree preferred.
Work experience : Experience (3–5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.
Knowledge : Healthcare (professional) billing, knowledge of CPT/ICD‑10 coding, government, managed care, and commercial insurance, claim submission requirements, reimbursement guidelines, and denial reason codes. An understanding of the revenue cycle and how the various components work together is preferred.
Skills and Abilities : Excellent organization skills, attention to detail, research, and problem‑solving ability. Results‑oriented with a proven track record of accomplishing tasks within a high‑performing team environment. Service‑oriented/customer‑centric. Strong computer literacy skills, including proficiency in Microsoft Office.
Equipment Operated : Mainframe billing software (e.g., Cerner, Epic, IDX) experience is highly desirable.
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.
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