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

Position Overview : The Payment Specialist 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.

Provides prompt notification of these payers to the Billing Supervisor to maximize opportunities to enroll 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-10 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! Independence Physician Management 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 at IPM 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 Physician Management.

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.

UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune corporation, annual revenues were $13.

4 billion in . 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 94, employees and continues to grow through its subsidiaries.

S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Last updated : 2024-04-26