CHARGE ENTRY SPECIALIST

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 $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 96,700 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.

Atlantic Region CBO (uhs.com)

The Atlantic Region CBO is seeking a Charge Entry Specialist - Per Diem.

The Charge Entry Specialist - Per Diem assumes responsibility and accountability for the daily capture of Emergency Room charges into the Hospital's Clinical Information/Patient Accounting system from the EMR while verifying and obtaining supporting documentation from the Emergency Room Staff to support any charges entered. This position will also ensure that all Emergency Room charges are reconciled on a daily basis utilizing various reports.

Duties and Responsabilities:

• Resolves registration, insurance eligibility, and referral/authorization related rejections and denials in a timely manner. Places phone calls to payers when necessary to understand the reason for rejections/denials and the most effective means of resolution
• Retrieves demographic information, insurance information, and referrals/authorizations from available sources such as hospital factsheet, acute/hospital health information system, registration forms, payer portals or any other available means. Enters this information accurately into the health information system
• Enters charges for professional services rendered in IPM and BH practices, clinics, and hospitals. This includes rendering/supervising provider, CPT, ICD.10, modifiers, units of service, and time of service payments. Reviews applicable authorizations/referrals to ensure that they are valid for the service being entered
• Electronically verifies insurance eligibility and makes updates accordingly. Ensures that eligibility result is positive prior to entering charges. Ensures that any updates provided in the insurance eligibility response are accurately updated in the health information system
• Adheres to reconciliation workflows and procedures to mitigate missed charges leading to loss of revenue
• Keeps abreast of payer policies and nuances pertaining to charge capture that impact the payment of claims. Know which payers requires referrals/authorizations for services. Considers payer requirements when entering charges to optimize clean claim rates
• Meets department objective for productivity
• Meets department objective for quality. When errors are identified during quality reviews, makes necessary corrections in the health information system in a timely manner.

Contact Information:

• Nicole Baez
• HR Coordinator/Recruiter

Position Requirements:

• High School Diploma or equivalent
• Working knowledge of ICD 10-CM and CPT-4 coding experience in an acute care facility is preferred.
• Previous experience with coding classification systems and DRG guidelines preferred.
• 3-5 years of related experience
• Computer and previous billing experience

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 our 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 at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.