Universal Hospital Services Inc.
DENIALS ANALYST - Billing Department
Universal Hospital Services Inc., Nevada, Iowa, United States, 50201
Responsibilities
Triage all denied claims to understand the reason for denial or dispute. Work closely with Nurse Auditors to ensure they have all 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. Identify trends or patterns in denial reasons and provide feedback to leadership to improve processes and reduce future denials. Qualifications
Education:
High school diploma or equivalent. Experience:
2 years healthcare/collection experience or equivalent experience in a hospital setting. Minimum of 2 years of previous Collections/Appeals experience. Technical Skills:
Strong analytical, organization, communication, and problem‑solving skills, as well as thorough understanding of 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. 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 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.
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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 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. Identify trends or patterns in denial reasons and provide feedback to leadership to improve processes and reduce future denials. Qualifications
Education:
High school diploma or equivalent. Experience:
2 years healthcare/collection experience or equivalent experience in a hospital setting. Minimum of 2 years of previous Collections/Appeals experience. Technical Skills:
Strong analytical, organization, communication, and problem‑solving skills, as well as thorough understanding of 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. 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 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.
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