CBO Insurance Appeals Specialist

UVA Health; Virginia; À distance; USD 25 000 - 51 000; Plein temps

Avantages offerts par ce poste

Comprehensive Benefits Package

Flexible Scheduling

Remote work environment

Résumé du poste

UVA Health is seeking a CBO Insurance Appeals Specialist for a fully remote role within its Revenue Cycle team. You will investigate and resolve coding and global denials through payer follow-up, reconsiderations, and well-supported appeals.

The position suits a detail-oriented, experienced professional who thrives on problem-solving and adapting to changing priorities. The role emphasizes denial resolution, accuracy, and collaboration with leadership to improve financial outcomes.

Qualifications

• Experience resolving coding and global insurance denials.
• CPC certification and 5+ years of denial/charge experience preferred.
• Ability to review charges and communicate with payers to advance resolution.

Responsabilités

• Review assigned charges and claims across systems.
• Investigate coding and global denials and prepare accurate appeals.
• Communicate with insurance payers to advance resolution.
• Prioritize older dates of service, high-dollar accounts, and aging claims.
• Manage multiple work queues and meet productivity expectations.
• Identify paths to secure payment and reduce AR aging.

Connaissances

Coding-denial knowledge

Payer expertise

Experience resolving insurance claims

CPC certification

Formation

High School Diploma or equivalent

Associates degree preferred

Description du poste

Turn complex insurance denials into meaningful financial outcomes that support patient care across UVA Health.

Join UVA Health’s Revenue Cycle team in a fully remote role where your coding knowledge, analytical judgment, and payer expertise will help resolve challenging claims and strengthen organizational performance. You will work within a supportive, engaged team that values accuracy, adaptability, continuous learning, and effective denial resolution.

The Role

As a CBO Insurance Appeals Specialist, you will investigate and resolve coding and global insurance denials through payer follow-up, reconsiderations, and well-supported appeals. This is a fast-paced, detail-intensive opportunity for an experienced revenue cycle professional who enjoys problem-solving, managing varied denial types, and navigating changing priorities.

Your Average Day May Include

• Reviewing assigned charges, claims, and previously worked accounts across applicable systems
• Investigating coding, global, included, and bundled denials
• Preparing accurate appeals and reconsiderations supported by claim and coding information
• Communicating directly with insurance payers and using carrier websites to advance resolution
• Prioritizing older dates of service, high-dollar accounts, and aging claims
• Managing multiple work queues as operational needs and priorities evolve
• Meeting established productivity and quality expectations
• Identifying the appropriate path to secure payment and reduce avoidable accounts receivable aging
• Partnering with colleagues and leadership to support departmental goals and continuous improvement

This position is well suited for someone with coding-denial knowledge, experience resolving insurance claims, and the flexibility to move between assignments. CPC certification and five years of related denial or charge experience are preferred.

The role offers a 100% remote work environment and flexible scheduling options. Typical training hours are 6:00 a.m. to 2:30 p.m. The ongoing schedule will be established after training based on operational needs and placement.

Why UVA Health

At UVA Health, Revenue Cycle professionals play an essential role in sustaining the resources needed to deliver exceptional care, advance medical discovery, educate future healthcare professionals, and serve communities throughout Virginia. Your work will directly contribute to healthier accounts receivable performance and the responsible stewardship of a nationally recognized academic health system.

Here You Will Find

• Supportive and involved leaders who build strong partnerships with team members
• A dynamic environment with exposure to a variety of coding and insurance denial scenarios
• Continuous opportunities to expand your knowledge of appeals, payer requirements, coding concepts, and denial-resolution workflows
• Demonstrated potential for internal career advancement, with this opportunity created through an employee promotion
• Meaningful analytical work that supports both revenue cycle performance and UVA Health’s broader patient-care mission
• A collaborative team focused on resolving complex denials, reducing accounts receivable days, and improving financial outcomes
• The opportunity to contribute to an integrated academic health system committed to patient care, research, education, innovation, and community engagement
• Relocation assistance may be available for qualified candidates.

If you are energized by complex account research, shifting priorities, and the opportunity to build deeper coding and payer expertise, this role offers a strong platform for continued growth within Revenue Cycle.

Why People Love Living in Charlottesville

Charlottesville offers a distinctive combination of natural beauty, culture, food, and community. Located near the Blue Ridge Mountains, the area provides convenient access to hiking, outdoor recreation, local vineyards, arts and music venues, and a vibrant independent dining scene. From the pedestrian-friendly Downtown Mall to the surrounding countryside, Charlottesville supports an engaging lifestyle and meaningful balance for healthcare professionals and their families.

Minimum Requirements

Education: High School Diploma or equivalent required; Associates degree preferred.

Experience: 3+ years relevant experience required.

Licensure: None

PHYSICAL DEMANDS

Job requires sitting for prolonged periods, attention to detail, must be able to hear, speak, read and write legibly.

The pay range for this role is $18.37 - $36.74 hourly. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
• Generous Paid Time Off
• Retirement Savings
• Long-term and Short-term Disability
• Health Saving Plans, and Flexible Spending Accounts
• Certification and Education Support

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.