Claims Resolution Specialist

One 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. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. 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 96,700 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.

https://uhs.com/

The Atlantic Region CBO is seeking a dynamic and talented Claims Resolution Specialist.

The Claims Resolution Specialist is responsible for working in conjuncton with the Operations Manager to review payer inventories and identify trends in accounts receivable.

Key Responsibilities include:

• Analyze Payer inventories, identify and root cause adverse trends in A/R.
• Establish and build relationships with major payer representatives at third party insurance companies and facility management staff
• Support CBO in communication and interaction with key facility contacts towards resolution of accounts.
• Handle difficult patient and third party payer calls and higher level collection efforts.
• Review and/or create daily, weekly and monthly reports as assigned.
• Excellent organizational skills, keen eye, and time management needed to successfully support two key systems' maintenance and ongoing builds, in addition to scheduled reporting:Artiva HCx System and Web Reports Support, Ongoing evaluation and support of Artiva reporting (Web Reports). Position will continually review existing reporting and pinpoint needed updates, in addition to supporting new report build requests. Will work with operations manager and corporate reporting team to open tickets and coordinate updates and needed changes.
• Artiva HCx system workflow issues and new ticket requests.
• Position will coordinate with internal departments on flagged issues and new workflow requests.
• Will work with operations manager and corporate Artiva team to prioritize new and existing incidents for resolution of exiting issues and new functionalities.
• Provide Artiva HCX workflow troubleshooting support to internal customers
• Scheduled Reporting
• Support the compilation and distribution of scheduled CBO reporting out of Data Warehouse and Web Reports

Benefit Highlights

• 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
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300 Subsidiaries!
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

Contact Information:

• Nicole Baez
• HR Coordinator/Recruiter
• Nicole.baezRojas@uhsinc.com

This position will report to Kate Hughes and is operationally focused on both Artiva HCx and Artiva Reporting support and ongoing maintenance

Position Requirements:

• High school diploma or equivalent required.
• Associates degree or higher preferred.
• Strong Microsoft Office skills (Excel, Word, Outlook), customer focused for internal and external customers, strong attention to detail, ability to multi-task and excellent written and oral communication skills are required.
• 1-3 years experience in a healthcare business office setting preferred
• Must be proactive, assertive and articulate knowledge and understanding of payer claims processing philosophies
• Ability to analyze payer inventories, identify and root cause adverse trends in AR.
• Establish and build relationships with major payer representations at third party insurance companies.

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.

Avoid and Report Recruitment Scams

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.