Insurance Appeals Specialist

Job Summary

To support patient care across UVA Health, the fully remote CBO Insurance Appeals Specialist will investigate and resolve coding and global insurance denials through payer follow-up and well-supported appeals, leveraging coding knowledge and analytical judgment to strengthen organizational performance.

Key responsibilities

• Review assigned charges, claims, and previously worked accounts to identify coding and global denials
• Prepare accurate appeals and reconsiderations while communicating directly with insurance payers
• Manage multiple work queues and prioritize older dates of service and high-dollar accounts

Required qualifications

• High School Diploma or equivalent required; Associate's degree preferred
• Minimum of 3 years of relevant experience in insurance claims resolution
• CPC certification preferred
• Experience with coding-denial knowledge and navigating various denial types
• Flexibility to adapt to changing priorities and assignments