APPEALS SPECIALIST

Talentify; Richmond (VA); On-site; USD 46,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401(K) with company match

Stock plan discount

SoFi student loan refinancing

Career development opportunities

Pet Insurance

Job summary

Universal Health Services in Richmond, VA seeks an Appeals Specialist for its Atlantic Region CBO. You will resolve appeals on billing, collaborate with facility clinicians, and drive timely corrections. You’ll interface with insurers to secure payments and document actions taken on patient accounts.

The role emphasizes accuracy, multi-tasking, and strong communication while meeting productivity goals in a healthcare business office setting.

Qualifications

• High school diploma or equivalent.
• 1-3 years appeals experience preferred.
• Strong Microsoft Office skills (Excel, Word, Outlook).
• Customer focused with strong attention to detail and the ability to multi-task; excellent written and oral communication.
• Familiarity with appeals and 1-3 years healthcare business office experience preferred.

Responsibilities

• Appeals relating to technical and clinical issues identified during billing of claims.
• Collaborate with HIM and facility clinicians to correct deficiencies promptly.
• Identify problem accounts and trends; escalate as appropriate.
• Work with insurance companies to secure payment on outstanding balances.
• Document patient accounts with actions taken to resolve issues.
• Meet productivity standards and departmental goals; perform other duties as assigned.

Skills

Microsoft Office

Excel

Word

Outlook

Data entry

Communication

Attention to detail

Education

High school diploma

Job description

Responsibilities

Atlantic Region CBO

The Atlantic Region Central Billing Office (“ARCBO”) or (“CBO”) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.

https://jobs.uhs.com/atlantic-region-cbo

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 & Rewards 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!
• Pet Insurance
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

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.