Responsibilities

Foundations Recovery Network (a UHS company)

Foundations Recovery Network’s mission is to be the leader in evidence-based, integrated treatment for co-occurring mental health and substance use disorders through clinical services, education and research. This role will be located at your regional office in Brentwood, TN. Foundations Recovery Network is part of the behavioral division of UHS.

Position Summary:

Our team is looking to expand due to increased needs nationwide, The patient account representative will be responsible for the collection of delinquent patient accounts and for the claims denial process from third party health insurance companies for all accounts in a designated territory. This will be roughly 75% patient collections and and 25% on the insurance side .

This opportunity provides the following:

UHS is 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 matchGenerous Paid Time Off

About Universal Health ServicesOne of the nation’s largest and most respected providers of hospital and healthcare services, UniversalHealth Services, Inc. (UHS) has built an impressive record of achievement and performance. Growingsteadily since its inception into an esteemed Fortune 500 corporation, annual revenues were over $11billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies byFortune; and listed in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King ofPrussia, PA, UHS has over 89,000 employees and continues to grow through its subsidiaries. Operatingacute 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. www.uhsinc.com

Essential Duties and Responsibilities:

Recoups insurance revenue, identifies payer trends, and resolves payment variances, requests for additional information and denials.Monitors contracts and single patient agreements to ensure appropriate reimbursement is received.Ensures timely filing requirements are met and claims are followed-up on in a timely and appropriate manner, to eliminate timely filing denials and non-payment of claims.Responsible for any special projects related to obtaining appropriate and timely reimbursement of claims outstanding.Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.Follows-up on denials in a timely manner and proactively communicates any denial issues related to billing requirements.Follows-up on unpaid/unresolved account balances on a daily basis and notates follow-up response on patient accounts.Completes re-bill request as necessary to facilitate timely and proper claims payment.Performs various collection actions, including contacting third party payers or patients by phone and resubmission of claims for appeal process.Evaluates patient financial status and establishes budget plans.

Qualifications

Knowledge, Skills, and Abilities:

Demonstrates thorough knowledge of patient account policies and procedures.Understands and follows company guidelines for billing requirements for contracted and commercial payers.Understands commercial compliance regulations related to healthcare billing and accounts receivable management and where to locate the regulations.Demonstrates understanding of both UB04 and CMS 1500 claim forms.Knowledge of medical billing/collection practices.Knowledge of basic medical coding and third-party operating procedures and practices.Demonstrates ability to work effectively with and interact with patients and co-workers in a professional, caring, and courteous manner adhering to FRN’s Mission and Statement of Values.

Education and Experience:

High School diploma or GED required.Minimum of 2 years’ medical collection experienceExperience with paper and electronic claims filing 

EEO StatementAll UHS subsidiaries are committed to providing an environment of mutual respect where equalemployment opportunities are available to all applicants and teammates. UHS subsidiaries areequal 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), geneticinformation, national origin, disability status, protected veteran status or any other characteristicprotected by federal, state or local laws.We believe that diversity and inclusion among our teammates is critical to our success.

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