Appeals Specialist

Appeals Specialist

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, works with HIM and facility clinicians to correct deficiencies in a timely manner, identify problem accounts and trends, escalate 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, and other duties as assigned.

Benefit & Rewards 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!
• Pet insurance

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 during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies and in 2025, was listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 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, 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

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.