Eric Effertz

Vice President, Business Development And Sales at Unified Health Services

Eric Effertz serves as the Vice President of Business Development and Sales at Unified Health Services, specializing in the management of complex claims in the healthcare sector. Previously, Eric held the position of Vice President of Sales at Viewgol, where a focus on data insights and revenue cycle management was paramount. Prior roles include Regional Sales Director at Artera, where Eric worked on patient engagement platforms, and Sr. Director of Business Development at OSIS, concentrating on NextGen Healthcare technology assistance for Community Health Centers. Eric began a successful career in sales at NextGen Healthcare, Misys Healthcare Systems, and Mars Medical Systems, building expertise in practice management and electronic medical records. Eric holds a Bachelor of Science in Business Administration with a focus on Marketing from the University of Missouri-Columbia.

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Kansas City, United States

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Unified Health Services

Each year millions of workers are injured on the job and require medical attention. Since worker's compensation is an employee benefit governed by individual states, there are significant and varying rules and regulations involved in processing claims and obtaining reimbursements. Normal billing patterns in healthcare can't be applied to work comp because the nature of processing claims and the payer system is fundamentally different. This unique payor class lacks eligibility systems and invoicing remains a print and mail system burdened by "attachments"​. The collection process includes phone calls, high invoice submission rates and payment appeals. Finally, reimbursement rates differ by jurisdiction and providers don't know if payments are correct or not. UHS specializes in end to end management of worker's compensation claims for hospitals, surgery centers, and healthcare systems. We combine an in-depth knowledge of the work comp payor system with technology to create efficient methods of processing work comp claims from patient registration to cash application. Founded in 1997, UHS has managed over 2.1 million work comp patients, 5.7 million encounters, and $7.4 billion in work comp A/R for healthcare systems across the U.S. We take responsibility for processing work comp claims at patient registration. Our front end solution manages claim verifications and treatment authorizations as well as gathers important claim related information that will be needed to facilitate accurate billing and quick and accurate reimbursement. Healthcare providers bill claims in 837 format through clearinghouses to UHS. UHS handles the generation and distribution of invoices and performs all collection work. UHS ensures payments are accurate and cash posting is automated with 835 ERAs. Results include better collection yields, fewer unpaid accounts, lower A/R, process automation and lower processing costs. Talk to us about improving your work comp revenue cycle.


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51-200

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