DENIALS ANALYST - Billing Department

Western Region CBO

The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre-access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description:

Handles and manages Medicare RAC and QIO correspondences thru Cobius Audit Manager

Responsible for all incoming correspondences from MAC/CMS

Maintains inventory sent to Vendor for appeals

Works with Vendor in obtaining additional information needed to file appeals

Works with clinical team/vendor for Medicare 1 day stay review

Manages Medicare denials in Artiva for medical necessity review

Responsible to coordinate with Vendor on all Transfer DRG corrections.

Works with HIM to resolve LCD/NCD edits on claims

Education:
High school diploma or equivalent.

Experience:
2 years healthcare/collection experience and or equivalent experience in a hospital setting.

Minimun of 2 years of previous Collections/Appeals experience

Technical Skills:

Strong analytical, organization, communication, and problem-solving skills, as well as a thorough understanding of the denial/appeals process.

Computer proficiency to include word processing, spreadsheet, database, and patient accounting system.

Other:
Demonstrated knowledge of insurance billing relating to patient reimbursement.

Must be able to identify trends or patterns in denial reasons and provide feedback to leadership to improve processes and reduce future denials.

This opportunity offers 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

About Universal Health Services

One 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. 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. 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. www.uhs.com

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, 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.

Notice:

At UHS and all our subsidiaries, our Human Resources departments and recruiter are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.