Revenue Cycle Insurance Resolution Specialist
Job ID: R0025975 | Patient Finance | Full time | Charlottesville, VA
The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct reimbursements from the insurance companies. They are responsible of ensuring that all claims billed are in compliance with all federal and state requirements and also meeting the requirements of payers. The incumbent will serve as the liaison between insurance companies patients and the departments to ensure the claims are processed and followed up to meet Medical Center goals of Account Receivable Days Aging Account percentages and Cash goals. They will also research and answer all questions and complaints regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism. The representative utilizes multiple electronic billing Medical retrieval systems and payer websites as well as the knowledge of medical billing and coding guide- lines to resolve insurance denials and guarantor/patient inquiries. The representative must be able to respond knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal is to resolve all of the billing/denial issues through positive relationships/communication with the insurance companies patients and internal customers.
  • Performs inpatient/outpatient billing process.
  • Performs inpatient/outpatient follow up and working insurance denials.
  • Resolves insurance billing/payments .collection .process through proven knowledge of revenue cycle.
  • Performs optimum customer service to all inquiries from insurance companies UVA Dept.'s and patients.
  • Performs analysis of patient accounts6. Performs following department functions to achieve department goals.
  • In addition to the above job responsibilities, other duties may be assigned.

 

Position Compensation Range: $13.65 - $21.16 Hourly


MINIMUM REQUIREMENTS

Education: High School Graduate or Equivalent

Experience: 1 year of relevant experience.

Licensure: None required

 

PHYSICAL DEMANDS

Job requires sitting for prolonged periods. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly.


COVID Vaccination Requirement

Due to the scope of President Biden's Executive Order 14042 issued in early September, all University employees, including remote employees, must receive their final vaccination dose by January 4, 2022, unless they have a University-approved religious or medical exemption. The University has updated policy SEC-045 to reflect these new requirements.

If hired by the Academic Division, excluding School of Medicine, School of Nursing, UVA Physicians Group, and the Health Systems Library, you will be required to provide proof of vaccination or be willing to be vaccinated by January 4, 2022. Academic employees may apply for a University-approved medical or religious exemption.

Note: Some medical and safety-sensitive positions require vaccination and are not eligible for an exemption. For more information on how vaccination requirements will apply to you, please visit the UVA New Hire Vaccination Requirements webpage.


Charlottesville, VA
Charlottesville, VA 22903

Working here.

Magnet Recognition

UVA Health System has one of the nation’s most diverse workforces. We are a close-knit, collaborative team that values the expertise, opinions and contributions of our staff. Our proven patient-first focus drives everything we do and fuels our many accomplishments - from Magnet® designation for our nurses to national recognitions as a top hospital and employer (Magnet is a registered trademark of the American Nurses Credentialing Center).

Quality of Life

Charlottesville, Virginia is one of the nation’s most charming and picturesque places to live and work. Our area boasts many excellent restaurants, wineries and craft breweries; historic sites; Shenandoah National Park and Skyline Drive; and a great selection of homes in welcoming neighborhoods, as well as urban and rural locations. Public transportation is excellent, and you’re just a short drive from the beach or Washington, D.C.