DENIALS ANALYST - Billing Department

UHS • Las Vegas, NV

84d

About The Position

The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre-access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team.

Requirements

• High school diploma or equivalent.
• 2 years healthcare/collection experience and or equivalent experience in a hospital setting.
• Minimum of 2 years of previous Collections/Appeals experience.
• Strong analytical, organization, communication, and problem-solving skills.
• Thorough understanding of the denial/appeals process.
• Computer proficiency to include word processing, spreadsheet, database, and patient accounting system.
• Demonstrated knowledge of insurance billing relating to patient reimbursement.
• Ability to identify trends or patterns in denial reasons and provide feedback to leadership to improve processes and reduce future denials.

Nice To Haves

• Experience with hospital acute care payer contracts.

Responsibilities

• Triage all denied claims to understand the reason for denial or dispute.
• Work closely with Nurse Auditors to ensure they have all the needed information to support their medical necessity appeals.
• Prepare appeal letters, PDR forms, or other documentation required for the appeals process, ensuring accuracy, completeness, and adherence to timelines and regulations.
• Conduct thorough research and investigation to gather relevant information, documentation, and evidence to support the appeal or dispute.
• Follow up and track the status of appeals and escalate as necessary to ensure timely resolution.

Benefits

• Challenging and rewarding work environment.
• Growth and Development Opportunities within UHS and its Subsidiaries.
• Competitive Compensation.
• Excellent Medical, Dental, Vision and Prescription Drug Plan.
• 401k plan with company match.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees