Appeals Specialist

UHS•Richmond, VA

About The Position

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

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

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