Remote Insurance Denials Specialist – Revenue Cycle Expert

UVA Health

Virginia

Remote

USD 24,000 - 49,000

Full time

33 hours ago
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Benefits offered by this job

Comprehensive Benefits Package
Flexible Scheduling
Remote work option
Professional development opportunities

Job summary

UVA Health is seeking a CBO Insurance Resolution Specialist to investigate and resolve denied claims across assigned work queues in a fully remote, full-time role. You will use coding knowledge, analytical judgment, and persistence to secure appropriate reimbursement for services delivered, supporting lower AR days and stronger revenue cycle performance.

The role emphasizes independent account analysis, coordination with a Revenue Cycle team, and execution of appeals, reconsiderations, payor

Qualifications

  • CPC certification and two years of related insurance denial experience preferred.

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

Education

CPC certification

Job description

UVA Health is seeking a CBO Insurance Resolution Specialist to investigate and resolve denied claims across assigned work queues in a fully remote, full-time role. You will use coding knowledge, analytical judgment, and persistence to secure appropriate reimbursement for services delivered, supporting lower AR days and stronger revenue cycle performance.

The role emphasizes independent account analysis, coordination with a Revenue Cycle team, and execution of appeals, reconsiderations, payor

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