Appeals Team Lead: Denial Management & Training

UHS; Richmond (CA); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive pay

Generous paid time off

Medical, dental, vision plans

Job summary

Universal Health Services (UHS) in the Atlantic Region Central Billing Office (ARCBO) seeks an Appeals Team Lead to coordinate Appeals and Coding Specialists under the Appeals Manager. Responsibilities include staff support, training coordination, and collaboration with internal and external departments to resolve denials and monitor trends.

The role emphasizes relationship-building with payers and facility Case Management contacts, with a focus on process improvement and staff performance

Qualifications

• High school diploma or equivalent required.
• 1-3 years appeals experience preferred.
• Strong Microsoft Office skills (Excel, Word, Outlook) and 10 key data entry.
• Customer focused with excellent written and oral communication skills.

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.
• Reviews open and closed denials to monitor trends and assist with denial avoidance.
• Provides regular feedback to staff related to performance using productivity and quality reviews.
• Builds relationships with major payer representatives and key contacts within facilities.

Skills

Microsoft Office

10-key data entry

Customer service

Attention to detail

Education

High school diploma or equivalent

Tools

Excel

Word

Outlook

Job description

Universal Health Services (UHS) in the Atlantic Region Central Billing Office (ARCBO) seeks an Appeals Team Lead to coordinate Appeals and Coding Specialists under the Appeals Manager. Responsibilities include staff support, training coordination, and collaboration with internal and external departments to resolve denials and monitor trends.

The role emphasizes relationship-building with payers and facility Case Management contacts, with a focus on process improvement and staff performance