Appeals Team Lead

UHS; Richmond (VA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation

Generous paid time off

Medical, dental, vision plans

401(k) with company match

SoFi student loan refinancing

Job summary

Universal Health Services (UHS) is seeking an Appeals Team Lead for the Atlantic Region Central Billing Office. You will coordinate Appeals Specialists and Coding Specialists, support the Appeals Department, and work with the Appeals Manager to resolve denials.

Responsibilities include training, reporting, liaising with payers and case management, and performance feedback. This role offers a dynamic team, competitive compensation, and opportunities across UHS subsidiaries.

Qualifications

• High school diploma or equivalent and 1-3 years appeals experience preferred.
• Strong Microsoft Office skills (Excel, Word, Outlook).
• Customer focused with attention to detail, able to multi-task and perform 10-key data entry.
• Excellent written and oral communication skills required.
• Familiarity with appeals and healthcare business office experience preferred.

Responsibilities

• Serve as a support person for the Appeals Department by answering questions and addressing concerns.
• Coordinates training of new hires and provides in-services as appropriate.
• Works with Appeals Manager to resolve issues associated with denials between other internal departments of the CBO or external departments of the facilities served.
• Works with Appeals Manager to review open and closed denials to monitor trends at individual facility level to assist with denial avoidance, by providing feedback.
• Assists Appeals Manager in providing regular feedback to staff related to performance using reviews of productivity and quality of work.
• Establish and build relationships with major payer representatives at third party insurance companies, and key contacts within Case Management departments within each facility.
• Review and/or create daily, weekly and monthly reports as assigned.
• Assist department manager and assistant director with developing individual and group departmental goals and objectives
• Other duties as assigned.

Skills

Microsoft Office

Written and verbal communication

Attention to detail

Multi-tasking

Data entry (10-key)

Customer service

Education

High school diploma or equivalent

Tools

Excel

Word

Outlook

Job description

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.

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 Team Lead.

The Appeals Team Lead is responsible for working in conjunction with the Appeals Manager to coordinate the operational activities of the Appeals Specialists and Coding Specialists.

Key Responsibilities Include

• Serve as a support person for the Appeals Department by answering questions and addressing concerns.
• Coordinates training of new hires and provides in-services as appropriate
• Works with Appeals Manager to resolve issues associated with denials between other internal departments of the CBO or external departments of the facilities served
• Works in conjunction with Appeals Manager to review open and closed denials to monitor trends at individual facility level to assist with denial avoidance, by providing feedback.
• Assists Appeals Manager in providing regular feedback to staff related to performance using reviews of productivity and quality of work.
• Establish and build relationships with major payer representatives at third party insurance companies, and key contacts within Case Management departments within each facility.
• Review and/or create daily, weekly and monthly reports as assigned.
• Assist department manager and assistant director with developing individual and group 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.

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Qualifications

Position Requirements:

• High school diploma or equivalent and 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.