Responsibilities

One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2020, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #281 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates approximately 400 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

The Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist.

After onsite training/orientation in Richmond, VA, a remote/work from home option in VA is possible for this position.

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

Remote Work Disclaimer:

UHS requires onsite training lasting up to 90 days before work from home will be authorized. We ask that our remote employees have access to reliable internet connection and a dedicated, properly equipped workspace at a fixed location within Virginia that is free of distraction.

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

This opportunity provides the following:

• Challenging and rewarding work environment
• Remote/work from home option available for this position
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan 401k plan with company match
• Generous Paid Time Off 

If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online. UHS offers competitive compensation commensurate with experience and benefits programs including medical, dental, life insurance and 401k. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means. 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 operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.