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Senior Appeals Specialist

3 months ago

Richmond, Virginia, United States UHS Full time
Responsibilities

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 )

The Atlantic Region CBO is seeking a dynamic and talented Senior Appeals Specialist.

The Senior 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 higher dollar appeals relating to technical and clinical issues identified during the billing of claims.
  • Assists with training of new appeals team members and acts as a mentor as they transition into the department.
  • Assists with high dollar AR review and identifies 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
  • Retention Bonus Program if offered.
  • Loan Forgiveness Program if offered.
  • 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:
Contact Information:
  • Nicole Baez
  • HR Coordinator/Recruiter
Qualifications

Position Requirements:
  • High school diploma or equivalent, Associate's degree or higher preferred
  • 3-5 years appeals experience preferred
  • Strong Microsoft Office skills (Excel, Word, Outlook)
  • Ability to read and interpret medical records is required
  • Experience working in healthcare collections and with technical denials is required
  • 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 3-5 years healthcare business office experience preferred
Disclaimer

The Atlantic Region CBO is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

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.