One of the nationâ€™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 Worldâ€™s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of Americaâ€™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.
The Atlantic Region CBO is seeking a dynamic and talented Appeals Analyst - Audits.
The AppealsÂ Analyst - AuditsÂ is responsible for the resolution of accounts entered into the Cobius Audit System. To ensure a complete and transparent reporting of outcomes resulting from the audits and subsequent follow up. To effectively track, trend, and assure quality of all accounts by ensuring they are properly entered and tracked in the system..
Key Responsibilities include:
Enter and follow up on audit accounts that are received by the CBO. Ability to comprehend audit requests and select appropriate audit type. Understanding of financial information for the account. As the audit progresses through the process, complete the updates and determine how to proceed with accounts that require action. Follow up with payers on all tasks that are due. Work with payers and facilities to obtain decision letters, and additional information as required. Document in patient account notes as indicated. Work with Appeals staff for resolution on denied accounts.
Responsible for appeals relating to technical and clinical issues identified during the billing of claims
Works with HIM and facility clinicians to correct deficiencies in a timely manner
Identify problem accounts and trends. Escalate as appropriate.
Works with insurance companies to secure payment on account balances outstanding
Properly documents the patient account with actions taken to resolve issue.
Meet productivity standards and departmental goals and objectives.