Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Appeals Specialist

Universal Hospital Services

Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office (ARCBO) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist. The Appeals Specialist is responsible for the resolution of all appeals relating to technical issues identified during the billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: Responsible for appeals relating to technical and clinical issues identified during the billing of claims with HIM and facility clinicians to correct deficiencies in a timely manner, identify problem accounts and trends, and escalates as appropriate Works with insurance companies to secure payment on account balances outstanding Properly documents the patient account with actions taken to resolve issue Meet productivity standards and departmental goals and objectives Other duties as assigned Benefit Highlights 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: benefits.uhsguest.com 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. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquarters in King of Prussia, PA, UHS has approximately 99,000 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. Qualifications Position Requirements: High school diploma or equivalent 1-3 years appeals experience preferred Strong Microsoft Office skills (Excel, Word, Outlook) Customer focused both internally and externally; strong attention to detail; ability to multi-task; strong 10 key data entry; excellent written and oral communication skills are required Familiarity with appeals and 1-3 years healthcare business office experience preferred 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. #J-18808-Ljbffr

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Appeals Specialist in Richmond, VA vacancy
  •  ...A major healthcare service provider is seeking an Appeals Specialist to resolve claims appeals and work with insurance firms. Candidates should have at least a high school diploma and preferred experience in appeals, which includes using Microsoft Office effectively.... 
    Suggested
    Work at office

    Universal Hospital Services

    Richmond, VA
    2 days ago
  •  ...Appeals Specialist The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals... 
    Suggested
    Work at office
    Local area

    Alan B. Miller Medical Center

    Richmond, VA
    4 days ago
  •  ...provider is seeking a DRG Nurse Auditor in Richmond, Virginia. This role involves analyzing clinical claim denials, drafting detailed appeal letters, and performing DRG validation reviews. Candidates should possess an RN or LPN license, ideally with a BSN degree.... 
    Suggested

    Universal Hospital Services

    Richmond, VA
    2 days ago
  •  ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions... 
    Suggested
    Full time
    Contract work
    Part time
    For contractors
    Work at office
    Local area
    Remote work
    Night shift

    St. George Tanaq Corporation

    Richmond, VA
    7 days ago
  •  ...eye care continuum. For more information, visit Job Title: RCM Specialist-Ophthalmology Must reside in the following states : AL, AZ, FL,...  ...to forward to the collection team •Ability to research and appeal denied claims •Answering all patient or insurance telephone inquiries... 
    Suggested
    Full time
    Work at office
    Remote work
    Home office
    Flexible hours
    Afternoon shift
    Early shift

    Eye Care Partners

    Richmond, VA
    2 days ago
  •  ...Pharmacy and PTCB license in good standing** The Reimbursement Specialist Supervisor oversees the daily operations of the Reimbursement...  .... Review complex or escalated prior authorizations and appeals, ensuring appropriate documentation and compliance with... 
    Work at office
    Remote work
    Shift work

    Virginia Commonwealth University Health Systems

    Richmond, VA
    7 days ago
  •  ...enhance quality, efficiency and training. Participate on special projects as needed. Perform supervisory review on cost report appeals – position papers, jurisdiction reviews, work papers, Administrative Resolutions, and other work. Perform supervisory review of... 
    Full time
    Contract work
    Temporary work
    Work at office
    Local area
    1 day per week

    Elevance Health

    Richmond, VA
    4 days ago
  • $12.77 - $18.4 per hour

     ...schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in... 
    Hourly pay
    Minimum wage
    Local area
    Flexible hours

    O'Reilly Automotive Stores

    Richmond, VA
    4 days ago
  • $17 - $18.15 per hour

     ...Patient Access Specialist Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite... 
    Relief
    Work at office
    Local area
    Remote work

    Ensemble Health Partners

    Richmond, VA
    4 days ago
  • Datavant is seeking an entry-level candidate in Richmond, VA to process medical record requests efficiently and accurately. The role involves maintaining confidentiality, adhering to HIPAA standards, and managing patient health records in a high-volume environment. Applicants...

    Datavant

    Richmond, VA
    4 days ago
  •  ...Associate/Mid-level/Senior Sourcing Specialist Dominion Energy is committed to providing reliable, affordable, and increasingly clean energy that powers our customers every day. You won’t just find a job here; you’ll find your career. We offer a hybrid 3‑2 work schedule... 
    Contract work
    Work at office
    Visa sponsorship
    Work visa
    Relocation package

    Dominion Energy

    Glen Allen, VA
    2 days ago
  •  ...incorporate client feedback. Additionally, Patent Agents are encouraged to take the lead in Examiner interviews, drafting responses and appeal briefs, and delivering oral arguments at the Patent Trial and Appeal Board (PTAB). At K&B, you are the point-person for your cases,... 
    Work at office
    Remote work

    Kubota & Basol LLP

    Richmond, VA
    7 days ago
  •  ...divh2Principal Coordinator - Time Labor Specialist/h2pCapital Ones Principal Coordinator - Time and Labor Specialist position will perform a wide variety of record keeping and processing activities to ensure associates time entries are updated in the system and inputs... 
    Full time
    Part time
    Local area

    Capital One

    Richmond, VA
    18 days ago
  •  ...: Advisors are always empowered to turn down engagements if for whatever reason the work, the timing, or other factor doesn't appeal to them. They'll be kept in mind for the next suitable opportunity that arises. Advisors go through the same interviewing process... 
    Hourly pay
    Full time
    Part time
    Work at office
    Local area
    Immediate start
    Flexible hours

    Spinnaker Consulting Group

    Henrico, VA
    5 days ago
  • Job Description Job Description Are you in search of a top-tier ophthalmology practice that is committed to delivering exceptional eye care services, prioritizing the well-being and advancement of their patients vision health? If your answer is yes, then your quest concludes...
    Temporary work
    Relocation package

    Eyetastic Services

    Richmond, VA
    4 days ago
  •  ...Ophthalmologist - Corneal / Refractive Surgical Specialist (M89443) VCU Health - Richmond, VA Mission or Goal of Unit The Department of Ophthalmology at the Virginia Commonwealth University Medical Center supports a large health system providing both primary and tertiary... 

    Association of American Medical Colleges

    Richmond, VA
    3 days ago
  • Vitreoretinal Surgeon Opportunity Are you in search of a top-tier ophthalmology practice that is committed to delivering exceptional eye care services, prioritizing the well-being and advancement of their patients' vision health? If your answer is yes, then your quest...
    Temporary work
    Relocation package

    Eyetastic Services®

    Richmond, VA
    3 days ago
  • $33.83k - $55.11k

     ...Registered Technician Specialist #01426 Job no: 5105624 Work type: Full-Time (Salaried) Location: Richmond (City), Virginia Categories: Administrative Services Title: Registered Technician Specialist #01426 State Role Title: Admin and... 
    Full time
    Work experience placement
    Remote work

    Virginia Department of Human Resource Management

    Richmond, VA
    3 days ago
  • $20 - $24 per hour

     ...Senior Technician & Growth Specialist Sparkle Squad is a leading exterior cleaning and holiday lighting company proudly serving the Northern Virginia area. We aren't just a cleaning company; we are a technology-driven service team dedicated to property maintenance... 
    Hourly pay
    Full time
    Local area

    Sparkle Squad

    Richmond, VA
    5 days ago
  • $84.67k - $127.01k

    ## Lead EHS Specialist (2nd shift)Applylocations: Richmondposted on: Posted Todayjob requisition id: 0000033458**Job Description**Are you ready to join a dynamic team in revolutionizing workplace safety and driving impactful change? Lead the charge in enhancing workplace... 
    Work at office
    Local area
    Immediate start
    Relocation
    Shift work
    Afternoon shift
    3 days per week

    Lego Services LLC

    Richmond, VA
    2 days ago
  • Associate/Mid-level/Senior Sourcing Specialist Dominion Energy is committed to providing reliable, affordable, and increasingly clean energy that powers our customers every day. You won’t just find a job here; you’ll find your career. We offer a hybrid 3‑2 work schedule... 
    Contract work
    Work at office
    Visa sponsorship
    Work visa
    Relocation package

    Dominion Energy

    Glen Allen, VA
    2 days ago
  •  ...the community. If you are customer-oriented, a team player, and are ready to make a difference, join the Levco team! Leasing Specialist Full Time: 40 hours/week FLSA Status: Non-Exempt Schedule: 5 days a week, rotating Saturdays Reports to:... 
    Full time
    Temporary work
    Currently hiring

    Levco Management

    Richmond, VA
    4 days ago
  • $20.75 per hour

     ...build a fulfilling career and encourage you to have a life. Let us be the best place you'll ever work. The Peak Season Repair Specialist serves as a pathway to full-time employment with Safelite. In this role   you will utilize our industry-leading technology to... 
    Weekly pay
    Full time
    Local area

    Safelite

    Richmond, VA
    1 hour ago
  •  ...Glaucoma Specialist Commonwealth Eye Care Associates Commonwealth Eye Care Associates is seeking a Glaucoma Specialist to join our growing, referral-based ophthalmology team in Central Virginia! About the Practice: We are a fellowship-trained, consultative ophthalmology... 
    Full time
    Relocation package

    Ophthalmology Consultants

    Richmond, VA
    2 days ago
  • $100k - $150k

    Senior Product Manager Location: Remote, US Role Summary Senior Product Manager is responsible for owning and scaling our product adoption and fulfillment ecosystem , enabling instructor adoption and student access through accurate product metadata, offers, ...
    Full time
    Work at office
    Remote work

    Pearson

    Richmond, VA
    5 days ago
  • $17.19 - $23.68 per hour

     ...Highlights Location: Mountainside, NJ Schedule: Monday–Friday | Five 8am-4:30pm EST Status: Full-Time Area Lead – Health Information Specialist We are seeking an Area Lead – Health Information Specialist to support Release of Information (ROI) operations across health... 
    Hourly pay
    Full time
    Work at office
    Monday to Friday

    Datavant

    Richmond, VA
    3 days ago
  • $24 - $34 per hour

     ...Come join our amazing team and work remote from home!The National Title Examination Specialist will be responsible for conducting thorough reviews of national title searches, title clearance, and underwriting to help produce clear property titles and enable the efficient... 
    Hourly pay
    Work experience placement
    Remote work
    Work from home

    Vylla Title

    Richmond, VA
    6 days ago
  • $85k - $96k

     ...Strategic Sourcing Specialist - (Remote) We are looking for a Strategic Sourcing Specialist to join JLL, supporting sourcing strategies and supplier management across facility operations and capital projects for client campus in life sciences, manufacturing, and industrial... 
    Daily paid
    Live in
    Local area
    Remote work

    JLL

    Richmond, VA
    6 days ago
  • Food Lion is seeking a dedicated associate for the Perishable Department in Mechanicsville, VA. This role focuses on delivering exceptional customer service while maintaining operational standards to enhance the shopping experience. Preferred candidates are high school ...

    Food Lion

    Mechanicsville, VA
    5 days ago
  • A leading packaging solutions company in Richmond is seeking a Business Development Representative focused on generating new sales leads in the Life Science market. This role involves cold outreach and requires excellent communication skills. The ideal candidate will have...
    Remote work

    TemperPack

    Richmond, VA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Appeals Specialist. Be the first to apply!