Revenue Cycle Insurance Resolution Specialist
Job ID: R0038580 | 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 meet 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 Accounts 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 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 works insurance denials.
  • Resolves insurance billing/payments collection process through proven knowledge of revenue cycle.
  • Performs optimum customer service for 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: $15.37 - $23.82 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.




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Please visit the UVA COVID-19 Job Requirements and Guidelines webpage prior to applying for current information regarding vaccination requirements and guidelines for employment at UVA.

 

 

 


Charlottesville, VA
Charlottesville, VA 22903

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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).

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