Claims Resolution Specialist

Are you a detail-oriented problem solver with a passion for helping others? Do you thrive in a fast-paced environment where your skills and expertise can make a difference? If so, we have an exciting opportunity for you as a Claims Resolution Specialist at Universal Health Services.As a Claims Resolution Specialist, you will play a critical role in ensuring timely and accurate resolution of insurance claims for our patients. Your strong communication and analytical skills will be essential in working with insurance companies to resolve any discrepancies and ensure proper reimbursement for our services. Additionally, your compassion and empathy will be vital in providing support and guidance to our patients as they navigate the claims process.To excel in this role, you must have a minimum of 2 years of experience in healthcare billing and insurance claims resolution. A strong understanding of insurance terminology and regulations is also required. Above all, we are seeking a team player who is dedicated to providing exceptional customer service and improving the lives of our patients.Join our team at Universal Health Services and use your skills to make a positive impact on the healthcare industry. Apply now and start your journey towards a rewarding career as a Claims Resolution Specialist.

1. Timely and accurate resolution of insurance claims for patients.
2. Communicating with insurance companies to resolve discrepancies and ensure proper reimbursement.
3. Providing support and guidance to patients during the claims process.
4. Utilizing strong analytical skills to identify and resolve claim issues.
5. Maintaining up-to-date knowledge of insurance terminology and regulations.
6. Collaborating with other team members to improve processes and efficiency.
7. Ensuring compliance with all company and industry guidelines and procedures.
8. Building and maintaining positive relationships with insurance companies.
9. Educating patients on insurance coverage and benefits.
10. Maintaining accurate and organized records of claims and related documents.
11. Identifying and reporting potential fraudulent claims.
12. Participating in training and development programs to stay updated on industry changes.
13. Providing exceptional customer service and promoting patient satisfaction.
14. Adhering to all confidentiality and privacy policies.
15. Contributing to a positive and supportive work environment.

According to JobzMall, the average salary range for a Claims Resolution Specialist in Richmond, VA, USA is between $40,000 and $60,000 per year. This may vary depending on factors such as the company, level of experience, and additional skills or certifications.

Universal Health Services, Inc. (UHS) is one of the largest and most respected providers of hospital and healthcare services in the nation with more than 90,000 employees dedicated to improving people’s lives and transforming the delivery of healthcare. Through its subsidiaries, the company operates 26 Acute Care hospitals, 328 Behavioral Health inpatient facilities, and 42 outpatient facilities and ambulatory care centers in 37 states in the U.S., Washington, D.C., Puerto Rico and the United Kingdom. UHS also offers health insurance plans through Prominence Health Plan, and manages a network of physicians through Independence Physician Management.