DENIALS ANALYST - Billing Department jobs in United States
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UHS · 1 month ago

DENIALS ANALYST - Billing Department

Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. They are seeking a Denials Analyst to triage denied claims, prepare appeal documentation, and work closely with Nurse Auditors to support medical necessity appeals.

Health CareHospitalMedicalPersonal Health

Responsibilities

Triage all denied claims to understand the reason for denial or dispute
Work closely with Nurse Auditors to ensure they have all the needed information to support their medical necessity appeals
Prepare appeal letters, PDR forms, or other documentation required for the appeals process, ensuring accuracy, completeness, and adherence to timelines and regulations
Conduct thorough research and investigation to gather relevant information, documentation, and evidence to support the appeal or dispute
Follow up and track the status of appeals and escalate as necessary to ensure timely resolution

Qualification

Denial/Appeals ProcessHealthcare Collections ExperienceInsurance Billing KnowledgeAnalytical SkillsComputer ProficiencyCommunication SkillsProblem-Solving SkillsInterpersonal SkillsAttention to DetailOrganizational Skills

Required

High school diploma or equivalent
2 years healthcare/collection experience and or equivalent experience in a hospital setting
Minimum of 2 years of previous Collections/Appeals experience
Strong analytical, organization, communication, and problem-solving skills
Thorough understanding of the denial/appeals process
Computer proficiency to include word processing, spreadsheet, database, and patient accounting system
Demonstrated knowledge of insurance billing relating to patient reimbursement
Ability to identify trends or patterns in denial reasons and provide feedback to leadership to improve processes and reduce future denials

Preferred

Ability to think critically
Attention to detail
Interpersonal skills
Experience with hospital acute care payer contracts

Benefits

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

Company

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.

Funding

Current Stage
Public Company
Total Funding
$500M
2024-09-17Post Ipo Debt· $500M
2007-04-16Acquired
1981-07-17IPO

Leadership Team

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Marc D. Miller
President and Chief Executive Officer
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M
Matthew D. Klein
Sr. Vice President and General Counsel
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Company data provided by crunchbase