CENTRAL APPEALS SUPPORT SPECIALIST

Responsibilities

BH Shared Services (a UHS company) located in Brentwood, TN is currently seeking an experienced Central Appeals Support Specialist to join our established team.

POSITION SUMMARY: Central Appeals Support Specialist This role is responsible for managing and supporting the behavioral health appeals process, including following up with insurance companies, refiling denied or underpaid claims, and maintaining detailed records of appeal outcomes.

Preferably, the ideal candidate will have at least three years of experience in healthcare claims and billing with a strong understanding of behavioral health services and payer requirements. *This is a fully remote position. 

RESPONSIBILITIES:

• Track and follow up on behavioral health appeals submitted to insurance companies, resolve claim, and appeal issues effectively
• Refile denied or incorrectly processed claims in a timely and accurate manner.
• Analyze Explanation of Benefits (EOBs), denial codes, and remittance advice to determine appeal strategy.
• Maintain detailed and organized records of appeal submissions, follow-ups, outcomes, and trends.
• Performs other duties as assigned/required by this position.
  

This opportunity provides the following:

• UHS offers a 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
• Generous Paid Time Off

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. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. 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

Qualifications

REQUIREMENTS:

• High School degree required, Vocational/Technical School Graduate preferred
• 1-3 years related experience required, 3-5 preferred
• Medical/Coding certification preferred
• Knowledge of CPT/ICD-10 coding and insurance billing guidelines.
• Experience working with electronic health records (EHR) systems (MIDAS/Cerner/AS400).
• Familiarity with Medicaid, Medicare, and commercial payer requirements for behavioral health.
• Knowledge of how to navigate the behavioral health revenue cycle.
• Effective written and verbal communication skills and proficiency in Microsoft Office.
• Strong organizational and documentation skills with excellent attention to detail.

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, placement, promotion and compensation of individuals without regard to race, color, religion, 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.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.