Appeals Team Lead

UHS • Richmond, VA

54d

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 Team Lead. The Appeals Team Lead is responsible for working in conjunction with the Appeals Manager to coordinate the operational activities of the Appeals Specialists and Coding Specialists.

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

• 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
• Works in conjunction with Appeals Manager to review open and closed denials to monitor trends at individual facility level to assist with denial avoidance, by providing feedback.
• Assists Appeals Manager in providing regular feedback to staff related to performance using reviews of productivity and quality of work.
• Establish and build relationships with major payer representatives at third party insurance companies, and key contacts within Case Management departments within each facility.
• Review and/or create daily, weekly and monthly reports as assigned.
• Assist department manager and assistant director with developing individual and group departmental goals and objectives
• Other duties as assigned.

Benefits

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Pet Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED