CENTRAL APPEALS SUPPORT SPECIALIST

UHS•Brentwood, TN

3d•Remote

About The Position

BH Shared Services (a UHS company) located in Brentwood, TN is currently seeking an experienced Central Appeals Support Specialist to join our established team. POSITION SUMMARY: Central Appeals Support Specialist This role is responsible for managing and supporting the behavioral health appeals process, including following up with insurance companies, refiling denied or underpaid claims, and maintaining detailed records of appeal outcomes. Preferably, the ideal candidate will have at least three years of experience in healthcare claims and billing with a strong understanding of behavioral health services and payer requirements. This is a fully remote position. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Requirements

High School degree required, Vocational/Technical School Graduate preferred
1-3 years related experience required, 3-5 preferred
Medical/Coding certification preferred
Knowledge of CPT/ICD-10 coding and insurance billing guidelines.
Experience working with electronic health records (EHR) systems (MIDAS/Cerner/AS400).
Familiarity with Medicaid, Medicare, and commercial payer requirements for behavioral health.
Knowledge of how to navigate the behavioral health revenue cycle.
Effective written and verbal communication skills and proficiency in Microsoft Office.
Strong organizational and documentation skills with excellent attention to detail.

Responsibilities

Track and follow up on behavioral health appeals submitted to insurance companies, resolve claim, and appeal issues effectively
Refile denied or incorrectly processed claims in a timely and accurate manner.
Analyze Explanation of Benefits (EOBs), denial codes, and remittance advice to determine appeal strategy.
Maintain detailed and organized records of appeal submissions, follow-ups, outcomes, and trends.
Performs other duties as assigned/required by this position.