15 hours
2018-08-172018-09-15

MGR - APPEALS - (33979)

Universal Health Services
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  • Job Code
    33979
Deltek Talent Management - MGR - APPEALS - (33979)

Job Details


MGR - APPEALS - (33979)

Facility Name
UHS - NASHVILLE REGIONAL OFFICE - BRENTWOOD TN
Location
BRENTWOOD, TN 37027 US
BRENTWOOD, TN 37027 US (Primary)
Career Area
Corporate
Category
Accounting
Job Description

 MANAGER OF APPEALS:

 

One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.

 

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

 

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

 

UHS NASHVILLE REGIONAL OFFICE – is seeking a dynamic and talented Manager of Appeals.  This pivotal role is responsible for the management of a team who retrieve, investigate and manage a case load of post-discharge, closed chart insurance denials and appeals. 

 

We are looking for an RN with a strong background in psychiatric patient charting, case management, managing the Utilization Review process and someone with a  strong background in the denial and appeals processes of psychiatric insurance claims.

 

As an RN imagine a life without having to work shifts or weekends! Come work for a company where you are valued and rewarded for the work you perform?  If this sounds like you, we need you now. This position will be located in Nashville, TN but out of State candidates are encouraged to apply.  Relocation available.   

 

Key Responsibilities include:

  • Manages staff and the appeals workflow to assure effective and efficient resolution to denied claims. 
  • Assures both the Patient Accounting System (MS4) and the Denials Tracking System (MIDAS) logs are maintained accurately and timely throughout the entire appeals process. 
  • Utilizes MS4, MIDAS and other data collections systems to record and trend data related to appeals by payer and identify any other useful information.
  • Serves as a key liaison to the facilities in providing information on denials and process improvements to reduce the number and dollar amount of denials. 
  • Has a strong work ethic and the ability to work and communicate effectively with the administrative staff, payers, patients, clinicians, HIM and other employees.    

 

Job Requirements

Position Requirements:

  • Bachelor’s Degree is required a Master’s Degree a plus
  • Must be a licensed RN (psychiatric RN preferred)
  • CPC, CPC, CPC-H or CCS certifications are highly desired
  • Minimum of 3 years’ experience working in case management
  • Minimum of 3 years’ experience working in utilization review.
  • The ability to write letters in the persuasive letter format is required.
  • Possess a thorough knowledge of State and Federal regulations and requirements for effective and efficient appeals, including all timeliness and filling requirements.
  • Proficient in the use of office technology solutions including Microsoft Office applications is required.

 

This opportunity provides the following:

  • Relocation package for out of state candidates
  • UHS is a 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
  • Generous Paid Time Off

 

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

 

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

 

 

EQUAL OPPORTUNITY EMPLOYER

 

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Universal Health Services

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