What are the responsibilities and job description for the DENIALS ANALYST - Part Time position at Western CBO?
Responsibilities
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:
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.
ement compensation, and producing cost reports. Ability to think critically, attention to detail, interpersonal skills and experience with hospital acute care payer contracts is preferred.
***This is a part-time position*** ***28 -30 hours per week***
Qualifications
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.
