SR APPEALS SPECIALIST

UHS • Las Vegas, NV

3d

About The Position

The Western Region Consolidated Business Office delivers comprehensive insurance revenue services to our affiliated UHS facilities, encompassing billing, collections, cash posting, pre-access management, variance analysis, and customer service. Our dedication to associate satisfaction and growth is recognized by industry leaders, exemplifying our commitment to fostering a positive and inclusive workplace culture. Our associates can count on competitive salaries, top-tier medical, dental, and retirement benefits, career training, and support for continued professional development.

The Senior Appeals Specialist involves supporting the Appeals team by training and guidance. Managing denied claims by identifying reasons for denial or dispute and collaborating closely with Nurse Auditors to support medical necessity appeals. This position requires preparing and submitting accurate appeal documentation, conducting thorough research to gather supporting evidence, and ensuring timely follow-up and resolution of appeals.

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
• Experience in healthcare billing, patient accounts, explanation of benefits, medical insurance verification, and revenue cycle operations.
• Familiarity with denial management, collections, and appeals.
• Strong attention to detail and auditing experience.
• Strong Microsoft Office (Excel and Word) and 10-key data entry skills.

Responsibilities

• Supporting the Appeals team by training and guidance.
• Managing denied claims by identifying reasons for denial or dispute.
• Collaborating closely with Nurse Auditors to support medical necessity appeals.
• Preparing and submitting accurate appeal documentation.
• Conducting thorough research to gather supporting evidence.
• Ensuring timely follow-up and resolution of appeals.

Benefits

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

What This Job Offers

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