Appeals Resolution Specialist

2 weeks ago


Richmond, Virginia, United States UHS Full time
About the Role

The Appeals Resolution Specialist will be responsible for resolving technical and clinical issues related to healthcare claims. This role requires strong analytical and communication skills to effectively work with healthcare providers and insurance companies.

Key Responsibilities
  • Resolve appeals related to technical and clinical issues identified during the billing of claims
  • Collaborate with healthcare providers to correct deficiencies and identify problem accounts and trends
  • Work with insurance companies to secure payment on outstanding account balances
  • Properly document patient accounts with actions taken to resolve issues
  • Meet productivity standards and departmental goals and objectives
Requirements
  • High school diploma or equivalent
  • 1-3 years of appeals experience preferred
  • Strong Microsoft Office skills (Excel, Word, Outlook)
  • Customer-focused with strong attention to detail, ability to multi-task, and excellent written and oral communication skills
  • Familiarity with appeals and 1-3 years of healthcare business office experience preferred
Benefits
  • Competitive compensation and 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 subsidiaries


  • Richmond, Virginia, United States Elevance Health Full time

    Job SummaryElevance Health is seeking a highly skilled Grievance/Appeals Analyst II to join our team. As a key member of our Enterprise Grievance & Appeals Department, you will be responsible for reviewing, analyzing, and processing non-complex and some complex pre-service and post-service grievances and appeals requests.Key ResponsibilitiesUtilize...


  • Richmond, Virginia, United States Senior Living Recruiting Specialist Full time

    Position: Medication Administration Specialist at Senior Living CommunitiesAre you a certified Med Tech in Virginia looking for a stable career with opportunities for advancement and comprehensive benefits? This role may be the ideal match for you.Our organization is in search of dedicated Full-time Med Techs who are genuinely committed to enhancing the...


  • Richmond, Virginia, United States Senior Living Recruiting Specialist Full time

    Position: Medication Technician at Senior Living CommunitiesAre you a certified Med Tech in Virginia looking for a stable position with opportunities for advancement and comprehensive benefits? This role may be ideal for you.Our organization is in search of dedicated Full-time Med Techs who are genuinely committed to enhancing the lives of residents and are...


  • Richmond, Virginia, United States Senior Living Recruiting Specialist Full time

    Position: Medication Technician at Senior Living CommunitiesAre you a certified Med Tech in Virginia looking for a stable career with opportunities for advancement and comprehensive benefits? This role may be the ideal match for you.Our organization is in search of dedicated Full-time Med Techs who are genuinely committed to enhancing the lives of residents...


  • Richmond, Virginia, United States Senior Living Recruiting Specialist Full time

    Position: Medication Technician at Senior Living CommunitiesAre you a certified Med Tech in Virginia looking for a stable career with opportunities for advancement and comprehensive benefits? This role may be the ideal match for you.Our organization is in search of dedicated Full-time Med Techs who have a genuine passion for providing care to residents and...


  • Richmond, Virginia, United States Credit Solutions Full time

    Health Insurance Billing Follow Up SpecialistAt Credit Solutions, we're seeking a skilled Health Insurance Billing Follow Up Specialist to join our dynamic team. As a key member of our team, you'll be responsible for claims processing and insurance follow up, eligibility reviews, denial reviews, appeals processing, and trends analysis while providing...

  • Claims Examiner

    2 weeks ago


    Richmond, Virginia, United States Markel Full time

    {"Job Title": "Claims Examiner", "Job Summary": "We are seeking a skilled Claims Examiner to join our team at Markel. As a Claims Examiner, you will play a critical role in resolving moderate complexity and moderate exposure claims. Your expertise will be essential in analyzing coverage, communicating coverage positions, and directing investigations into...

  • Culinary Specialist

    4 weeks ago


    Richmond, Virginia, United States HHHunt Homes Full time

    Culinary Specialist - Spring Arbor of RichmondJob Category: Resident Care & Laborers Requisition Number: FOODS04529Job OverviewSpring Arbor Senior Living of Richmond is in search of dedicated Culinary Specialists. The Culinary Specialist will be tasked with crafting appealing and nutritious meals for residents, staff, and visitors while adhering to sanitary...

  • Litigation Specialist

    3 weeks ago


    Richmond, Virginia, United States Jobot Full time

    Competitive salary and incentive structureThis opportunity is hosted by Jobot.About Us:We are a comprehensive legal practice dedicated to hiring individuals who possess a robust work ethic, excel in a dynamic environment, and aspire to make a meaningful impact each day.Why Consider Joining Us?Attractive CompensationIncentive ProgramsPosition OverviewKey...


  • Richmond, Virginia, United States Qualified Staffing Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Claims Billing Associate to join our team at Qualified Staffing. As a Medical Claims Billing Associate, you will be responsible for ensuring that our clients receive accurate and timely reimbursement for their medical claims.Key ResponsibilitiesClaims Processing: Research and resolve...


  • Richmond, Virginia, United States Quantum Ventures Full time

    Unlock Your Potential as a Specialist Salesperson in the Food IndustryAt Quantum Ventures, we're seeking a talented individual to join our team as a specialist salesperson in the food industry, with a focus on bread and bakery products. As a key member of our sales team, you'll have the opportunity to develop your skills and expertise in a dynamic and...


  • Richmond, Virginia, United States Equipment Supplier Full time

    Job OverviewPosition: Facilities Maintenance Specialist / Project Support CoordinatorOverview: We are currently seeking a dedicated individual to join our team as a Facilities Maintenance Specialist with a focus on project support. In this role, you will be tasked with ensuring the operational integrity and aesthetic quality of our facilities. You will...


  • Richmond, Virginia, United States Foundations for Living Full time

    Job Title: Patient Accounts SpecialistAbout the Company:Foundations for Living is a leading provider of healthcare services, committed to delivering high-quality patient care and exceptional customer service.Job Summary:We are seeking a skilled Patient Accounts Specialist to join our team. As a Patient Accounts Specialist, you will be responsible for...


  • Richmond, Virginia, United States Foundations for Living Full time

    Job Title: Patient Accounts SpecialistFoundations for Living is seeking a highly skilled Patient Accounts Specialist to join our team. As a Patient Accounts Specialist, you will be responsible for resolving patient account inquiries and issues in a timely and professional manner.Key Responsibilities:Respond to patient inquiries and resolve account issues via...

  • Culinary Specialist

    2 weeks ago


    Richmond, Virginia, United States Holiday Inn & Suites Richmond West Full time

    Job SummaryWe are seeking a highly skilled and experienced Culinary Specialist to join our team at Holiday Inn & Suites Richmond West. As a key member of our culinary team, you will be responsible for preparing and presenting high-quality dishes to our guests.Key ResponsibilitiesPrepare and cook a variety of menu items, including breakfast, lunch, and dinner...


  • Richmond, Virginia, United States Commonwealth of Virginia Full time

    Position: Administrative Support Specialist in the Appeals Division at the Commonwealth of VirginiaWork collaboratively with the Civil Rights Coordinator and Compliance Specialist to oversee language access requests and ensure appropriate disability accommodations.Guarantee timely fulfillment of requests while adhering to legal requirements.Deliver...


  • Richmond, Virginia, United States Commonwealth of Virginia Full time

    Position: Administrative Support Specialist in the Appeals Division at the Commonwealth of VirginiaWork collaboratively with the Civil Rights Coordinator and Compliance Specialist to oversee language access requests and accommodations for individuals with disabilities.Ensure timely fulfillment of requests in accordance with legal requirements.Deliver...


  • Richmond, Virginia, United States Foundations for Living Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Patient Accounts Specialist to join our team at Foundations for Living. As a Patient Accounts Specialist, you will play a critical role in ensuring the smooth operation of our revenue cycle process.Key ResponsibilitiesRespond to patient inquiries and resolve issues related to their accounts in a...


  • Richmond, Virginia, United States Foundations for Living Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Patient Accounts Specialist to join our team at Foundations for Living. As a Patient Accounts Specialist, you will play a critical role in ensuring the smooth operation of our revenue cycle process.Key ResponsibilitiesRespond to patient inquiries and resolve issues related to their accounts in a...


  • Richmond, Virginia, United States Commonwealth of Virginia Full time

    Job SummaryThe Department of Medical Assistance Services (DMAS) is seeking a highly skilled Administrative Specialist to join our team in the Appeals Division. As an Administrative Specialist, you will play a critical role in ensuring that language access requests and disability access accommodations are properly fulfilled in a timely and efficient...