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Appeals Specialist

2 months ago

Richmond, United States Universal Health Services Full time

Responsibilities

Universal Health Services (UHS), one of the nations largest and most respected providers of hospital and healthcare services, one of the nations largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance.

In 2024, UHS was recognized By Newsweek and Plant-A Insights Group; Universal Health Services (NYSE: UHS) announced today that it has been recognized as one of Americas Greatest Workplaces for Diversity 2024 by Newsweek and Plant-A Insights Group. UHS has been growing steadily since our inception into an esteemed Fortune 500 corporation, our annual revenues during 2022 were approximately $13.4 billion. In 2023, UHS was again recognized as one of the Worlds Most Admired Companies by Fortune; ranked #311 on the Fortune 500; and ranked #434 among U.S. companies on Forbes Global 2000 Worlds Largest Public Companies.

Our operating philosophy is as effective today as it was upon the Companys founding in 1979: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve. UHS has approximately 94,000 employees and through its subsidiaries operates 27 inpatient acute care hospitals, 331 inpatient behavioral health facilities, nearly 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 39 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

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

This opportunity provides the following:

Challenging and rewarding work environment

Growth and development opportunities within UHS and its subsidiaries

Competitive Compensation

Excellent Medical, Dental, Vision and Prescription Drug Plan 401k plan with company match

Generous Paid Time Off

If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online. UHS offers competitive compensation commensurate with experience and benefits programs including medical, dental, life insurance and 401k. UHS 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. UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.