APPEALS SPECIALIST

Clive Behavioral

Richmond (VA)

On-site

USD 42,000 - 62,000

Full time

8 days ago

Get a reply from this employer

Your resume and cover letter, tailored to exactly what they’re hiring for.

Get past ATS filters

Benefits offered by this job

Competitive Compensation

Generous Paid Time Off

Excellent Medical, Dental, Vision and

401(K) with company match

SoFi Student Loan Refinancing Program

Career development opportunities

Pet Insurance

Benefits Guest Website

Job summary

Universal Health Services (UHS) Atlantic Region Central Billing Office seeks an Appeals Specialist to resolve billing appeals arising from technical and clinical issues. The role collaborates with HIM and facility clinicians to correct deficiencies and escalate trends as needed.

The position requires 1–3 years of appeals experience, strong MS Office skills, and a focus on accurate documentation and customer service. Eligible for benefits and career development within UHS network.

Qualifications

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.

Responsibilities

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

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.

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.