Arbour SeniorCare
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 elevate as necessary to ensure timely resolution.
Qualifications
Education: High school diploma or equivalent.
Experience: 2 years healthcare/collection experience or equivalent experience in a hospital setting.
Minimum 2 years of previous Collections/Appeals experience.
Technical Skills: Strong analytical, organization, communication, and problem‑solving skills and a thorough understanding of the denial/appeals process.
Computer proficiency with word processing, spreadsheet, database, and patient accounting system.
Other: Demonstrated knowledge of insurance billing relating to patient reimbursement and ability to identify trends or patterns in denial reasons to provide feedback to leadership to improve processes and reduce future denials.
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
About Universal Health Services Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. UHS operates acute care hospitals, behavioral health facilities, outpatient facilities, ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S., Washington, D.C., Puerto Rico and the United Kingdom.
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 recruiters 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 the 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.
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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 elevate as necessary to ensure timely resolution.
Qualifications
Education: High school diploma or equivalent.
Experience: 2 years healthcare/collection experience or equivalent experience in a hospital setting.
Minimum 2 years of previous Collections/Appeals experience.
Technical Skills: Strong analytical, organization, communication, and problem‑solving skills and a thorough understanding of the denial/appeals process.
Computer proficiency with word processing, spreadsheet, database, and patient accounting system.
Other: Demonstrated knowledge of insurance billing relating to patient reimbursement and ability to identify trends or patterns in denial reasons to provide feedback to leadership to improve processes and reduce future denials.
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
About Universal Health Services Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. UHS operates acute care hospitals, behavioral health facilities, outpatient facilities, ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S., Washington, D.C., Puerto Rico and the United Kingdom.
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 recruiters 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 the 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.
#J-18808-Ljbffr