UHS

The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and underpaid claims. This includes researching claim denials, correcting and reprocessing claims, and initiating appeals as necessary. | A high school diploma or GED is required, with a preference for an associate degree or technical school education. Candidates should have 1-3 years of experience in healthcare revenue cycle and knowledge of billing and coding. | Responsibilities This role requires a 3 month training period in office and must be within commuting distance to the King of Prussia, PA headquarters. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and underpaid claims by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for denials correcting and reprocessing claims for payment in a timely manner. Meets or exceeds the department’s established performance targets (productivity and quality). Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites the reprocessing of claims and maximizes opportunities to enhance front end claim edits to facilitate first pass resolution. Identifies uncollectible accounts and performs accurate and timely write-offs (e.g. no authorization) adhering to IPM CBO 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. Key Responsibilities include: Accurate and timely follow-up on claims that have not received a response, have been denied, or have been under/over paid. Works with payer to determine reasons for denials. Corrects and reprocesses claims for payment in a timely manner. Proceeds with appeals process as needed. Performs eligibility and claim status follow-up inquiries utilizing outbound calls to the payer, web link tools and payer websites. Documents all actions taken on accounts worked according to the department policy to ensure clear understanding of encounter status Identifies root causes and denial trends and makes recommendations to department leadership to prevent additional denials. Maintains a strong working knowledge of payer requirements and can research payer policies including LCD’s and NCD’s to help determine root cause for denial trends. As a last resort after exhausting all efforts, performs accurate write-offs (e.g. no authorization) following the identification of uncollectible accounts. Strictly adheres to IPM CBO write-off policies and procedures and utilizes proper adjustment aliases as defined in departmental job aides. Participates in regularly scheduled team meetings sharing denial trends specific to claim requirements to enhance front end claim edits to facilitate first pass resolution. Contributes ideas for workflows and approaches to A/R follow-up tasks to maximize opportunities for performance, process, and net revenue collections improvement. Meets established productivity metrics for the AR Department. Meets routinely with Supervisor to review productivity results and understands best practices and opportunities to create efficiencies in order to achieve maximum performance. Meets established quality metrics for the AR Department. Meets monthly with Supervisor to review quality results and collaborate on ways to improve scores. Upon receipt of monthly QR report, corrects any errors identified Qualifications High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred. Work experience: Experience (1-3 years minimum) working in healthcare revenue cycle Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes Understanding of the revenue cycle and how the various components work together preferred 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 As an IPM employee you will be part of a first class organization offering: A 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 much more! Independence Shared Services 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 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 Shared Services. No fee will be paid in the event the candidate is hired as a result of the referral or through other means. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com 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. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path 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 are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852- 3449

Create and manage quality and infection prevention databases, analyze and interpret healthcare data, and develop data-driven improvement strategies to enhance patient care. | Bachelor's degree or equivalent experience in healthcare quality improvement, 1-3 years of statistical data analysis, proficiency in data mining and reporting tools, knowledge of healthcare regulations and performance improvement methodologies, and strong communication and problem-solving skills. | Responsibilities The George Washington University Hospital (GW Hospital) continues to be a leader in providing the highest level of quality and compassionate healthcare for the D.C. Region. U.S. News & World Report has just released the 2023-2024 ratings and rankings, in which GW Hospital is recognized as a Best Regional Hospital. GW ranks 5th in the region, which includes hospitals in D.C. and parts of Maryland, Virginia and West Virginia. GW Hospital achieved "High Performing" status in two specialty areas, Neurology and Neuroscience.In addition, GW Hospital receiving "High Performing" designations for the following 10 procedures: COPD, Diabetes, Heart Attack, Heart Failure, Kidney Failure, Leukemia, Lymphoma and Myeloma, Lung Cancer Surgery, Pneumonia, Prostrate Cander Surgery and Stroke. Measured by factors such as patient outcomes, "High Performing" is a designation U.S. News & World Report bestows to recognize performance in these specialties that is significantly better than the national average. GW Hospital received the American College of Cardiology's National Cardiovascular Data Registry (NCDR) Chest Pain - Myocardial Infarction (MI) Registry Platinum Performance Achievement Award for 2023. *GW Hospital is the only hospital in Washington, D.C., to be recognized for this service line. "At GW Hospital, we are proud to offer a range of advanced services and treatments. Our multidisciplinary care teams are dedicated to outstanding clinical services, research, and education to improve care, quality, and outcomes for our patients," says Ulises Torres, MD, Chief Quality Officer at GW Hospital. "These recognitions by U.S. News & World Report , which place us within the top hospitals in the region, highlight the expertise, commitment and diligence delivered to each patient in our care."Children's National Hospital, GW Hospital's NICU partner, was recently ranked the number two hospital in the country for neonatology by U.S. News & World Report . In addition to these recent U.S. News & World Report recognitions, GW Hospital also provides high-quality care in the region through its designation as a Level I Trauma Center and designation as a Comprehensive Stroke Center.The mission of GWU Hospital is to provide the highest quality of healthcare, advanced medical technology, and world class service to its patients in an academic medical center dedicated to education and research.Website: www.gwuhospital.comData Analyst Responsible for 1) creating, maintaining and managing comprehensive and robust quality and infection prevention database which reflects the scope and breadth of the organization's patient care services; 2) compiling, analyzing, verifying and interpreting data and information as well as collaboratively developing data-driven improvement strategies and implementation plans which demonstrably result in improved patient care and services.Benefit HighlightsChallenging and rewarding work environmentCompetitive Compensation & Generous Paid Time OffExcellent Medical, Dental, Vision and Prescription Drug Plans401(K) with company match and discounted stock planSoFi Student Loan Refinancing ProgramCareer development opportunities within UHS and its 300+ Subsidiaries! • More information is available on our Benefits Guest Website: benefits.uhsguest.comAbout Universal Health ServicesOne of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com Qualifications Qualification Bachelor's in healthcare related field or equivalent years' experience in healthcare quality improvement Master's Degree preferred One to three years of statistical data collection and analysis or equivalent combination of education, training, and experience Knowledge of and experience with computer applications specific to data mining, analysis and reporting, including the use of severity adjustments and benchmarking software. Previous experience with data extraction from clinical information systems. Knowledge of systems theory and statistics Effective communication skills, both verbal and written Effective interpersonal skills Ability to maintain confidentiality Ability to adapt to multiple and changing priorities Familiar with regulations, guidelines and standards Knowledge of licensure regulations, Joint Commission on Accreditation of Healthcare Organization and state/federal standards Knowledge of Performance Improvement methodology and Outcomes Management Statistical analysis skills Demonstrated problem solving, data assembly and action planning ability leading to the development of actions plans that will prove helpful in achieving measurable objectives Ability to organize, formulate, educate and facilitate problem solving teams Demonstrative ability to work without supervision towards a desired outcome Expertise in Excel, PowerPoint, Ms Word, Database management EEO StatementAll 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 our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path 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 are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.Avoid and Report Recruitment ScamsWe are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.