Operations Analyst II - Revenue Cycle (Billing)

Universal Health Services - Tredyffrin Township, PA

Full-time - Mid Level

Tredyffrin Township, PA

5,001-10,000 employees

Hospitals

About the position

The Operations Analyst II - Revenue Cycle (Billing) at Universal Health Services, Inc. is responsible for monitoring and documenting internal workflows and processes related to patient billing and payments. This role involves analyzing reports to identify opportunities for process improvement and ensuring timely submission of patient accounts through the billing and collection cycle. The analyst will also manage departmental projects and technology while educating end users on regulatory changes and correct system processes.

Responsibilities

• Reviews weekly reports to identify issues affecting the timely resolution of patient accounts for billing/claims and payment/remits.
• Identifies opportunities and resolves most issues independently to improve system processes.
• Discusses user issues with Centralized Business Offices to work with external vendors to resolve any issues affecting the timely claim submission and remit retrieval processes.
• Assists the team in resolving tickets opened by UHS internal customers and opening cases with UHS external vendors.
• Maintains rules within the patient accounting systems including, but not limited to, requiring custom edits or bridge routines, resolving claim errors, locating missing files.
• Documents processes and workflows regarding claim submission, payer edits, claim rejections, and payments/EOBs.

Requirements

• An Associate Degree is required; however, significant (5+ relevant) years of experience will be accepted in lieu of education.
• 3 - 5 years of relevant experience required.
• Minimum of three to five years functional knowledge of the revenue cycle operations including scheduling/registration, billing, collections, payment/adjustment posting, credit balance/refunds, statements, bad debt write offs, collections processes and reporting.
• Knowledge of UB04/837I, 1500/837P, and 835s/EOBs desired.
• Professional written and verbal communication skills.
• Proficiencies in Visio, Microsoft EXCEL and WORD.
• Ability to meet deadlines and multitask.
• Intermediate logical deduction skills and the ability to solve most problems independently.

Benefits

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off