Senior Commercial Billing Specialist

Responsibilities

Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.

The Atlantic Region CBO is seeking a dynamic and talented Senior Commercial Billing Specialist
.

The primary responsibility of the Senior Commercial Billing Specialist is the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures while remaining adaptable to the needs of the department.

• Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations and is able to pick up additional worklists as needed
• Completes all payer specific edits identified through the billing system
• Resolves issues associated with incomplete claims including follow up of non transmitted claims
• Submit adjustment claims to Medicare/Medicaid through use of online systems
• Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records.
• Bulk mails all manual claims to individual payers daily
• Works all daily reports as assigned including high dollar worklists and high dollar reports for Central and East facilities. Reviewing Medical Necessity holds for facility review to ensure completion of billing.
• Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems
• Completes all monthly required in-services and educational training as required.
• Leverages knowledge and experience to assist with new hire training and question periods to ensure new hires are successful
• Takes on additional responsibilities such as open alpha splits for morning claims, complete transplant workload and other special projects.
• Supports department by assisting with Team Lead duties as necessary
• Assists the department with end of the month functions as needed
• Other duties as assigned

• 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:

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 $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies.

Headquarters in King of Prussia, PA, UHS has approximately 99,000 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.

Position Requirements:

• High School Diploma or equivalent required. Associate's degree preferred
• 1-3 years medical billing experience required; 3-5 years preferred
• Experience with Medicare, Medicaid, Blue Cross Blue Shield and medical terminology preferred.
• Strong Microsoft Office skills (Excel, Word, Outlook)
• Customer focused both internally and externally, strong attention to detail, the ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required.
• 1-3 years healthcare business office experience preferred.

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and…