Healthcare Billing Appeals Specialist

Clive Behavioral; Richmond (VA); On-site; USD 42,000 - 62,000; Full time

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

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.