Insurance Follow Up Specialist

Insurance Follow Up Specialist - East

The Atlantic Region CBO is seeking a dynamic and talented Insurance Follow Up Specialist - East. The Insurance Follow Up Specialist is responsible for the follow up and resolution of patient and third party accounts receivable balances. Knowledge of third party payer rules and regulations including Medicare, Medicaid, Blue Cross Blue Shield and medical terminology. Develops strong working relationships with major payers to assure timely resolution of claims processing issues. The ability to communicate clearly and concisely both verbally and in writing. Customer focused, providing service consistently exceeding expectations to both internal and external customers. Proficiency in Microsoft Office applications, collection tactics and negotiation skills. Ability to prioritize needs and to manage resources. Can perform basic mathematical calculations and balance and recognize figures.

Key Responsibilities include:

• Perform follow up activities on accounts to ensure prompt payment
• Identify coding or billing errors from EOBs and work to correct them
• Update the patient account record to identify actions taken
• Adhere to all HIPAA guidelines as well as various policies and guidelines
• Identify trends, and carrier issues relating to billing and reimbursements
• Report findings to Team Lead and/or Supervisor
• Pursue and participate in education to remain current with changes in the Healthcare industry
• Organize and prioritize tasks to meet deadlines
• Contribute to team effort by accomplishing related results as needed
• Assist with increasing cash flow by decreasing our Account Receivables aging account
• Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives

Benefit & Rewards Highlights:

• 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!
• Pet Insurance

About Universal Health Services:

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 during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications Position Requirements:

• Minimum 1 year of experience in an office setting highly preferred
• Knowledge of managed care payers and medical terminology is preferred
• Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
• Detail-oriented with the ability to work on multiple, competing, priorities
• Proficient in Microsoft Office and Windows products.
• Strong written and verbal communication skills; strong analytical, organizational and time management skills required
• Gathers and analyzes information skillfully

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.