virginia department of human resource managementCharlottesville, VA
CBO Insurance Appeals Specialist
$18.37 - $36.74 hourly
Apply (opens in a new tab)CBO Insurance Appeals Specialist
CBO Insurance Appeals Specialist
virginia department of human resource managementCharlottesville, VA
yesterday
$18.37 - $36.74 hourly
Billing and Posting ClerksFinancial Specialists, All OtherClaims Adjusters, Examiners, and Investigators
General Medical and Surgical HospitalsSpecialty HospitalsColleges, Universities, and Professional Schools
Apply for this role (opens in a new tab)CBO Insurance Appeals Specialist 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. You will work within a supportive, engaged team that values accuracy, adaptability, continuous learning, and effective denial resolution.
The Role:
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
This position is well suited for someone with coding-denial knowledge, experience resolving insurance claims, and the flexibility to move between assignments. CPC certification and five years of related denial or charge experience are preferred. The role offers a 100% remote work environment and flexible scheduling options. Typical training hours are 6:00 a.m. to 2:30 p.m. The ongoing schedule will be established after training based on operational needs and placement.
Why UVA Health At UVA Health, Revenue Cycle professionals play an essential role in sustaining the resources needed to deliver exceptional care, advance medical discovery, educate future healthcare professionals, and serve communities throughout Virginia. Your work will directly contribute to healthier accounts receivable performance and the responsible stewardship of a nationally recognized academic health system. Here you will find:
Supportive and involved leaders who build strong partnerships with team members
A dynamic environment with exposure to a variety of coding and insurance denial scenarios
Continuous opportunities to expand your knowledge of appeals, payer requirements, coding concepts, and denial-resolution workflows
Demonstrated potential for internal career advancement, with this opportunity created through an employee promotion
Meaningful analytical work that supports both revenue cycle performance and UVA Health's broader patient-care mission
A collaborative team focused on resolving complex denials, reducing accounts receivable days, and improving financial outcomes
The opportunity to contribute to an integrated academic health system committed to patient care, research, education, innovation, and community engagement
Relocation assistance may be available for qualified candidates.
If you are energized by complex account research, shifting priorities, and the opportunity to build deeper coding and payer expertise, this role offers a strong platform for continued growth within Revenue Cycle. Why People Love Living in Charlottesville Charlottesville offers a distinctive combination of natural beauty, culture, food, and community. Located near the Blue Ridge Mountains, the area provides convenient access to hiking, outdoor recreation, local vineyards, arts and music venues, and a vibrant independent dining scene. From the pedestrian-friendly Downtown Mall to the surrounding countryside, Charlottesville supports an engaging lifestyle and meaningful balance for healthcare professionals and their families.
MINIMUM REQUIREMENTS:
Education: High School Diploma or equivalent required; Associates degree preferred.
Experience: 3+ years relevant experience required.
Licensure:
NonePHYSICAL DEMANDS Job requires sitting for prolonged periods, attention to detail, must be able to hear, speak, read and write legibly. The pay range for this role is $18.37 - $36.74 hourly. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
Benefits
Comprehensive Benefits Package:
- Medical, Dental, and Vision Insurance
- Generous Paid Time OffRetirement Savings
- Long-term and Short-term Disability
- Health Saving Plans, and Flexible Spending Accounts
Certification and Education SupportUVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children's is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation.
Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond. The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment.
Also on the board Same function, level within a rung
Level
Senior
Salary
$18.37 - $36.74 hourly
Location
Charlottesville, VA
Occupation
Billing and Posting Clerks
Industry
General Medical and Surgical Hospitals
Posted
yesterday