[Hiring] CBO Insurance Appeals Specialist @UVA Health

Role Description

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.

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

Qualifications

• Coding-denial knowledge
• Experience resolving insurance claims
• Flexibility to move between assignments
• CPC certification preferred
• Five years of related denial or charge experience preferred

Requirements

• Education: High School Diploma or equivalent required; Associates degree preferred
• Experience: 3+ years relevant experience required
• Licensure: None

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