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UVA Health · 1 day ago

CBO Insurance Resolution Specialist

Virginia, United States

Full-time

Onsite

Entry Level

$17.66/hr - $35.32/hr

2+ years exp

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. The CBO Insurance Resolution Specialist is responsible for handling and resolving insurance billing follow-up and denial issues to ensure correct reimbursements for facilities within the UVA Health System.

Health CareHospitalMedical

Responsibilities

Handles and resolves all Insurance billing follow up and denial issues to ensure all facilities within UVA Health System receives correct reimbursements from insurance companies

Responsible of ensuring all claims billed are in compliance with all federal and state requirements and also meeting the requirements of payers

Serves as the liaison between insurance companies, patients and the departments to ensure the claims are processed and followed up to meet the CBO Revenue Cycle performance metrics & representative Facility specific goals

Researches and answers 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

Utilizes multiple electronic billing, hospital information systems and payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries

Responds knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies

Performs inpatient/outpatient billing process for multiple different facility types within UVA Health that the Central Billing Office has assigned AR responsibility

Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental rules

Resolves insurance billing/payments collection process through proven knowledge of revenue cycle

Performs optimum customer service to all inquiries from insurance companies, UVA Health clinical departments and patients

Performs analysis of patient accounts to insure efficient and timely adjudication

Effectively evaluates expected reimbursement and payments to insure they are processed correctly for all lines of business and facilities assigned to the CBO

Performs revenue cycle department functions to achieve department goals

In addition to the above job responsibilities, other duties may be assigned