Remote Insurance Appeals Specialist | Coding & Payer Expert

Virginia AG; Charlottesville (VA); Remote; USD 25,000 - 51,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Paid Time Off

Retirement Savings

Disability Insurance

HSA and FSA

Job summary

UVA Health is seeking a CBO Insurance Appeals Specialist to investigate and resolve coding and global insurance denials through payer follow-up, reconsiderations, and well-supported appeals. Remote role with flexible scheduling, training hours 6:00 a.m.

to 2:30 p.m., and potential for career growth within Revenue Cycle. Ideal candidates have coding-denial knowledge, 3+ years of related denial experience, and CPC certification preferred.

Qualifications

• Education: High School Diploma or equivalent required; Associates degree preferred.
• Experience: 3+ years relevant experience required.
• Licensure: CPC certification preferred.

Responsibilities

• 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.

Skills

Denial resolution

Payer follow-up

Education

CPC certification

Job description

UVA Health is seeking a CBO Insurance Appeals Specialist to investigate and resolve coding and global insurance denials through payer follow-up, reconsiderations, and well-supported appeals. Remote role with flexible scheduling, training hours 6:00 a.m.

to 2:30 p.m., and potential for career growth within Revenue Cycle. Ideal candidates have coding-denial knowledge, 3+ years of related denial experience, and CPC certification preferred.