1+ months

Appeals Manager - (126076)

Universal Health Services
Richmond, VA 23219
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  • Job Code
    126076

One of the nations 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 Worlds Most Admired Companies byFortune;ranked #276 on the Fortune 500, and listed #275 inForbesinaugural ranking of Americas 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.

The Atlantic Region CBO is seeking a dynamic and talented Appeals Manager.

The primary responsibility of the Appeals Manager is to manage all appeals relating to technical and clinical issues identified during the billing of claims. Manages staff and the appeals workflow to assure effective and efficient resolution to claims.

Key Responsibilities include:

  • Manages appeals relating to technical and clinical issues identified during the billing of claims
  • Monitors and trends insurance denials by running appropriate reports
  • Works with HIM and facility clinicians to correct deficiencies in a timely manner
  • Resolve issues associated with the appeals between other internal departments of the CBO or external departments of the facilities served.
  • Works with guarantors to secure payment on account balances outstanding
  • Counsels staff with productivity, work and disciplinary actions
  • Monitors productivity standards and directs staff in meeting departmental goals and objectives
  • Mentors and coaches staff by providing on-going training as necessary to assure communication of common issues/concerns.
  • Interviews and makes recommendations to hire new employees.
  • Other duties as assigned
Job Requirements

Position Requirements:

  • Extensive knowledge of Healthcare systems/operations and medical records
  • Healthcare systems and operations knowledge includes experience with data analytics, technical denials, and effectively navigating through payor delay tactics
  • Must possess the ability to work effectively with payors, patients, clinicians, HIM and other employees
  • Proficiency in Microsoft Office applications and others as required

This opportunity provides the following:

  • 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

If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online. UHS offers competitive compensation commensurate with experience and benefits programs including medical, dental, life insurance and 401k.

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.

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.

Posted: 2020-02-27 Expires: 2020-04-02

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Appeals Manager - (126076)

Universal Health Services
Richmond, VA 23219

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