EDUCATION and/or EXPERIENCE: High school diploma or GED required. Knowledge of medical terminology required. Two years prior experience in medical billing/collections is preferred.

• Analyze and investigate denied claims to determine the root causes of denials, including coding errors, missing information, and billing discrepancies.
• Prepare and submit appeals for denied claims, utilizing a comprehensive understanding of payer requirements and regulations to maximize the likelihood of successful resolution.
• Resubmit corrected claims with the appropriate documentation and follow up to ensure timely processing.
• Communicate with insurance companies, payers, and other relevant parties to resolve denials and obtain information needed for appeals or resubmissions.
• Maintain regular follow-up with insurers to track the progress of appealed claims and escalate as necessary to achieve successful resolution.
• Stay informed about industry changes, billing regulations, and payer policies to ensure compliance with applicable laws and best practices.

• UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management