Remote Insurance Denials Resolution & Appeals Specialist

Virginia AG; Charlottesville (VA); Remote; USD 24,000 - 49,000; Full time

Benefits offered by this job

Comprehensive Benefits Package

Generous Paid Time Off

Retirement Savings

Disability Coverage

Health Savings Plans

Certification and Education Support

Job summary

UVA Health’s Revenue Cycle team is seeking a remote CBO Insurance Resolution Specialist to investigate denied claims, apply coding knowledge, and pursue payment through appeals and payor communications. You will analyze denials, prepare reconsiderations, and maintain organized documentation while meeting productivity goals.

CPC certification and 2 years of denial experience are preferred. This full-time, fully remote position offers exposure to coding and global denial resolution within an

Qualifications

• 2 years of relevant insurance denial experience
• CPC certification preferred
• High School Diploma or equivalent

Responsibilities

• Analyze and resolve coding, global, included, and bundled denials
• Review assigned claims and charges for accurate, timely follow-up
• Prepare appeals and reconsideration requests supported by relevant claim information
• Communicate with insurance payors to clarify denial reasons and advance resolution
• Navigate payor websites and internal systems to research claim status
• Prioritize older dates of service, high-dollar accounts, and aging balances
• Maintain organized documentation and continuity across assigned accounts
• Meet established productivity and performance expectations
• Adapt to changing work queues and assist with additional denial categories as needed
• Apply knowledge of coding and denial processes to pursue appropriate payment

Skills

Coding knowledge

Analytical judgment

Persistence

Communication with payors

Education

High School Diploma or equivalent

CPC certification preferred

Job description

UVA Health’s Revenue Cycle team is seeking a remote CBO Insurance Resolution Specialist to investigate denied claims, apply coding knowledge, and pursue payment through appeals and payor communications. You will analyze denials, prepare reconsiderations, and maintain organized documentation while meeting productivity goals.

CPC certification and 2 years of denial experience are preferred. This full-time, fully remote position offers exposure to coding and global denial resolution within an