One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.
Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
UHS NASHVILLE REGIONAL OFFICE - is seeking a dynamic and talented Manager of Appeals. This pivotal role is responsible for the management of a team who retrieve, investigate and manage a case load of post-discharge, closed chart insurance denials and appeals.
We are looking for an RN with a strong background in psychiatric patient charting, case management, managing the Utilization Review process and someone with a strong background in the denial and appeals processes of psychiatric insurance claims.
As an RN imagine a life without having to work shifts or weekends! Come work for a company where you are valued and rewarded for the work you perform? If this sounds like you, we need you now. This position will be located in Nashville, TN but out of State candidates are encouraged to apply. Relocation available.
Key Responsibilities include:
Manages staff and the appeals workflow to assure effective and efficient resolution to denied claims.
Assures both the Patient Accounting System (MS4) and the Denials Tracking System (MIDAS) logs are maintained accurately and timely throughout the entire appeals process.
Utilizes MS4, MIDAS and other data collections systems to record and trend data related to appeals by payer and identify any other useful information.
Serves as a key liaison to the facilities in providing information on denials and process improvements to reduce the number and dollar amount of denials.
Has a strong work ethic and the ability to work and communicate effectively with the administrative staff, payers, patients, clinicians, HIM and other employees.