- Serve as a support person for the Appeals Department by answering questions and addressing concerns.
- Coordinates training of new hires and provides in-services as appropriate
- Works with Appeals Manager to resolve issues associated with denials between other internal departments of the CBO or external departments of the facilities served
- Works in conjunction with Appeals Manager to review open and closed denials to monitor trends at individual facility level to assist with denial avoidance, by providing feedback.
- Assists Appeals Manager in providing regular feedback to staff related to performance using reviews of productivity and quality of work.
- Establish and build relationships with major payer representatives at third party insurance companies, and key contacts within Case Management departments within each facility.
- Review and/or create daily, weekly and monthly reports as assigned.
- Assist department manager and assistant director with developing individual and group departmental goals and objectives
- Other duties as assigned.
- Retention Bonus Program if offered.
- Loan Forgiveness Program if offered.
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries
- More information is available on our Benefits Guest Website:
- Nicole Baez
- HR Coordinator/Recruiter Qualifications
- High school diploma or equivalent and 1-3 years appeals experience preferred.
- Strong Microsoft Office skills (Excel, Word, Outlook)
- 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 1-3 years healthcare business office experience preferred.
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Appeals Team Leader - Richmond, United States - Foundations for Living
Description
ResponsibilitiesOne of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related
services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
The Atlantic Region CBO is seeking a dynamic and talented Appeals Team Lead.
The Appeals Team Lead is responsible for working in conjunction with the Appeals Manager to coordinate the operational activities of the Appeals Specialists and Coding Specialists.
Key Responsibilities include:
Benefit Highlights
Contact Information:
Position Requirements:
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
