Senior 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 Senior Appeals Specialist. The Senior 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, Associate's degree or higher preferred
3-5 years appeals experience preferred
Strong Microsoft Office skills (Excel, Word, Outlook)
Ability to read and interpret medical records is required
Experience working in healthcare collections and with technical denials is required
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 3-5 years healthcare business office experience preferred

Responsibilities

Responsible for higher dollar appeals relating to technical and clinical issues identified during the billing of claims.
Assists with training of new appeals team members and acts as a mentor as they transition into the department.
Assists with high dollar AR review and identifies 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