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Senior Commercial Billing Specialist

Job in Richmond, Henrico County, Virginia, 23214, USA
Listing for: Horizon Health Corporation
Full Time position
Listed on 2026-01-16
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding
  • Administrative/Clerical
    Healthcare Administration
Job Description & How to Apply Below

Responsibilities

The Atlantic Region Central Billing Office (ARCBO) 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, and 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.

Key Responsibilities
  • 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
  • Submits 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; reviews Medical Necessity holds for facility review to ensure completion of billing
  • Records daily productivity of claims billed and ensures 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 the department by assisting with Team Lead duties as necessary
  • Assists the department with end‑of‑the‑month functions as needed
  • Other duties as assigned
Benefits
  • 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:
Qualifications
  • 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; ability to multi‑task; strong 10‑key data entry; excellent written and oral communication skills required
  • 1–3 years healthcare business office experience preferred
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 its 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. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security number, credit card or bank information) from you via…

Position Requirements
10+ Years work experience
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