Revenue Cycle Insurance Resolution Specialist
Job ID: R0028157 | Patient Finance | Full Time | Charlottesville, VA
The Insurance Resolution Specialist handles and resolves all insurance billing follow-up and denial issues to ensure that the Medical Center receives correct reimbursements from the insurance companies. They are responsible for 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 guidelines 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 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 departments and patients.
  • Performs analyses of patient accounts. 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

  • Education: High school graduate or equivalent.
  • Experience: 1 year of relevant experience.
  • Licensure: None required.

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


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Charlottesville, VA
Charlottesville, VA 22903

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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.