Operations Analyst II - Revenue Cycle (Billing)

Universal Health Services - Tredyffrin Township, PA

Full-time - Mid Level

Tredyffrin Township, PA

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 educate end users on regulatory changes and manage departmental projects and technology.

Responsibilities

• Monitor and document internal workflow and processes regarding patient billing and payments.
• Maintain profiles in the Patient Accounting systems.
• Analyze reports to identify opportunities for process improvement and resolve issues regarding timely submission of patient accounts.
• Review weekly reports to identify issues affecting the timely resolution of patient accounts for billing/claims and payment/remits.
• Identify opportunities and resolve most issues independently to improve system processes.
• Discuss user issues with Centralized Business Offices and work with external vendors to resolve issues affecting claim submission and remit retrieval processes.
• Assist the team in resolving tickets opened by UHS internal customers and opening cases with UHS external vendors.
• Maintain rules within the patient accounting systems, including custom edits or bridge routines, resolving claim errors, and locating missing files.
• Document processes and workflows regarding claim submission, payer edits, claim rejections, and payments/EOBs.

Requirements

• Associate Degree required; significant (5+ relevant) years of experience accepted in lieu of education.
• 3 - 5 years of relevant experience required.
• Functional knowledge of revenue cycle operations including scheduling/registration, billing, collections, payment/adjustment posting, credit balance/refunds, statements, and bad debt write offs.
• Knowledge of UB04/837I, 1500/837P, and 835s/EOBs desired.
• Proficient in Microsoft Word, Excel, and Visio.
• Strong professional written and verbal communication skills.
• Ability to meet deadlines and multitask.
• Intermediate logical deduction skills and ability to solve problems independently.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off
• 401(k) matching