Appeals Specialist
Posted: 14 January, 2025Organization: Universal Health Services, Inc. (UHS)
Location: Richmond, VA
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.
The Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist.
The Appeals Specialist is responsible for the resolution of all appeals relating to technical issues identified during the billing of claims and the follow-up on the clinical appeals performed by the facilities.
Key Responsibilities include:
- Responsible for appeals relating to technical and clinical issues identified during the billing of claims
- Works with HIM and facility clinicians to correct deficiencies in a timely manner Identify problem accounts and trends. Escalate as appropriate.
- Works with insurance companies to secure payment on account balances outstanding
- Properly documents the patient account with actions taken to resolve issue.
- Meet productivity standards and departmental goals and objectives.
- Other duties as assigned
Benefit 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!
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
Contact Information:
- Nicole Baez
- HR Coordinator/Recruiter
- Nicole.baezRojas@uhsinc.com
Qualifications
Position Requirements:
- High school diploma or equivalent
- 1-3 years appeals experience preferred
- Strong Microsoft Office skills (Excel, Word, Outlook)
- Customer focused both internally and externally, strong attention to detail, the ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required
- Familiarity with appeals and 1-3 years healthcare business office experience preferred
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.
Pay Transparency:
To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.