Job Description

Responsibilities

Independence Physician Management (IPM) , is a subsidiary of Universal Health Services, Inc (UHS). IPM was formed in 2 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 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.

Position Overview :

The responsible for the accurate and timely import and processing of Electronic Remittance Advices (ERAs) and manual payment posting to PMS to meet team goals and objectives.

Duties and Responsibilities :

• Accurate and timely processing of ERA files to PMS to minimize lag days.
• Meets or exceeds established performance targets (productivity and quality) established by the Billing Supervisor.
• Handles payer refund requests including validating the refund following review of the account history and submission of a refund request to Accounts Payable.
• Confirms the electronically posted payments total in PMS against EFT / deposit total.
• Identifies payments that did not post electronically and manually posts payments to PMS and manages Provider Level Adjustments (PLB) and other credits applied to PMS following the ERA process, to achieve a successful reconciliation result (PMS ERA total is equal to EFT / deposit total).
• Timely and accurate manual payment posting of non-ERA insurance payments, accurately reviews and resolves assigned claim and clearinghouse edits and payer rejections to minimize lag days.
• Retrieves Explanation of Benefits (EOBs), as needed, for EFT / deposits received from paperless payers who are not set up for ERA.
• Identifies zero-dollar payments / insurance denials and forwards EOB information to the appropriate Accounts Receivable team timely to drive prompt resubmission and appeals processing.
• Effectively prioritizes work assignments and demonstrates flexibility in assuming payer specific manual payment posting batches and ERA files assigned to other Reimbursement Specialists to minimize lag days and ensure team goals / objectives are met.
• Participates in regularly scheduled team meetings offering new paths, procedures and approaches to manual payment posting, ERA processing, PLB adjustments and credit balances to maximize opportunities for performance and process improvement.

Qualifications

• High School Graduate / GED required.
• Technical school or associate degree preferred.
• 1-3 years working in a healthcare (professional) billing, health insurance or equivalent operations work environment, preferred.
• Healthcare (professional) billing, knowledge of CPT / ICD- coding, claim submission requirements, payment posting and remittance processing.
• Understanding of the revenue cycle and how the various components work together preferred.
• Ability to manage data entry accurately in a high-paced environment.
• Ability to reconcile data and identify discrepancies.
• Results oriented with a proven history of accomplishing tasks within a high-performing team environment.
• Service-oriented / customer-centric.
• Strong computer literacy skills including proficiency in Microsoft Office.
• Billing software (e.g., Cerner, Epic, IDX) experience highly desirable.

As an IPM employee you will be part of a first-class organization offering :

Benefits Highlights :

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• K) with company match and discounted stock plan
• Tuition Reimbursement

and much more!

Pay Transparency :

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees.

A posted salary range applies to the current job posting. Salary offers may be based on key factors such as education and related experience.

Last updated : 2024-04-26