Appeals Team Lead
UHS
Summary
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.
Job description
Key Responsibilities
- 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.
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
- Familiarity with appeals and 1-3 years healthcare business office experience preferred
Benefits
- Competitive Compensation
- Generous Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plans
- 401(k) Matching
- Discounted Stock Plan
- Student Loan Refinancing
- Career Development
- Pet Insurance
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.