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Universal Health Services

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Universal Health Services
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Job Details

Deltek Talent Management - PATIENT ACCOUNTS REP - (8638)

Job Details


Facility Name
foundations recovery network
BRENTWOOD, TN 37027-5577 US (Primary)
Career Area
Support & Entry Level
Job Description

One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

Foundations Recovery Network a divison of UHS is the premier provider of integrated treatment for co-occurring addiction and mental health concerns, offering residential and outpatient services nationwide. At each facility, we focus on patient-centered care and an individualized approach, upholding a high standard of innovative treatment and compassionate attention to each patient’s needs. We are committed to providing and promoting evidence-based treatment for individuals with co-occurring disorders through clinical services, education, and research. Our purpose is to create lifetime relationships for long-term recovery. Everything we do is designed to support recovery in a comprehensive way, addressing the needs of the whole person—physically, emotionally, mentally, and spiritually. We provide the foundation; you build the life.

Foundations Recovery Network is currently seeking a Patient Account Representative to take charge of the collection of delinquent patient accounts for a designated territory. We don’t “off-shore” our collections because we have one of the best collections teams in the Nashville area! We are looking for someone for this role who loves the challenge of collecting on accounts that were previously considered a lost cause. We need someone who fully understands the requirements of third party health insurance policies and how to handle their individual claims denials process. We need someone who can confidently and compassionately interact with our patients and their families in this difficult time, as they work to break free from addiction.

Job Requirements

Essential Duties and Responsibilities
• Reviews EOB for proper reimbursement
• 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
• Answers inquiries and correspondence from patients and insurance companies to facilitate payment
• Identifies and resolves patient billing complaints
• Performs other duties as required or assigned

Knowledge, Skills, and Abilities
• Demonstrates knowledge of patient account policies
• Understands 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 claim form and CMS 1500 claim form
• 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 that adheres to FRN’s Mission and Statement of Values
• Understands and maintains confidentiality at all times
• Must be proficient in Microsoft Word and Excel
• Strong mathematical acumen required

Education and Experience
• High School diploma or GED required
• Minimum of 2 years’ medical collection experience
• Experience with paper and electronic claims filing


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