The Rector & Visitors of the University of Virginia
CBO Insurance Resolution Specialist
The Rector & Visitors of the University of Virginia, Charlottesville, Virginia, United States, 22904
Overview
The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all insurance billing follow up and denial issues to ensure facilities within UVA Health System receive correct reimbursements from insurance companies. They ensure all claims billed comply with federal and state requirements and payer requirements. The incumbent serves as the liaison between insurance companies, patients and departments to ensure claims are processed and followed up to meet the CBO Revenue Cycle performance metrics and representative facility-specific goals. They research and answer questions and complaints regarding patient responsibility balances and billing inquiries received through the customer call center with courtesy and professionalism. The representative uses multiple electronic billing systems, hospital information systems and payer websites, along with knowledge of medical billing and coding guidelines, to resolve insurance denials and guarantor/patient inquiries. They respond knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal is to resolve all billing/denial issues through positive relationships and communication with insurance companies, patients and internal customers.
Responsibilities
Performs inpatient/outpatient billing process for multiple facility types within UVA Health that the Central Billing Office has assigned AR responsibility.
Performs inpatient/outpatient follow up and works insurance denials; appeals claims as defined by payer and departmental rules.
Resolves insurance billing/payments collection process through knowledge of revenue cycle.
Provides optimum customer service to inquiries from insurance companies, UVA Health clinical departments and patients.
Performs analysis of patient accounts to ensure efficient and timely adjudication.
Evaluates expected reimbursement and payments to ensure they are processed correctly for all lines of business and facilities assigned to the CBO.
Performs revenue cycle department functions to achieve department goals.
Other duties as assigned.
Minimum Requirements
Education: High School Graduate or Equivalent
Experience: 2 years 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.
Compensation Position Compensation Range: $17.66 - $35.32 Hourly
Benefits
Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
Paid Time Off, Long-term and Short-term Disability, Retirement Savings
Health Saving Plans and Flexible Spending Accounts
Certification and education support
Generous Paid Time Off
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The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all insurance billing follow up and denial issues to ensure facilities within UVA Health System receive correct reimbursements from insurance companies. They ensure all claims billed comply with federal and state requirements and payer requirements. The incumbent serves as the liaison between insurance companies, patients and departments to ensure claims are processed and followed up to meet the CBO Revenue Cycle performance metrics and representative facility-specific goals. They research and answer questions and complaints regarding patient responsibility balances and billing inquiries received through the customer call center with courtesy and professionalism. The representative uses multiple electronic billing systems, hospital information systems and payer websites, along with knowledge of medical billing and coding guidelines, to resolve insurance denials and guarantor/patient inquiries. They respond knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal is to resolve all billing/denial issues through positive relationships and communication with insurance companies, patients and internal customers.
Responsibilities
Performs inpatient/outpatient billing process for multiple facility types within UVA Health that the Central Billing Office has assigned AR responsibility.
Performs inpatient/outpatient follow up and works insurance denials; appeals claims as defined by payer and departmental rules.
Resolves insurance billing/payments collection process through knowledge of revenue cycle.
Provides optimum customer service to inquiries from insurance companies, UVA Health clinical departments and patients.
Performs analysis of patient accounts to ensure efficient and timely adjudication.
Evaluates expected reimbursement and payments to ensure they are processed correctly for all lines of business and facilities assigned to the CBO.
Performs revenue cycle department functions to achieve department goals.
Other duties as assigned.
Minimum Requirements
Education: High School Graduate or Equivalent
Experience: 2 years 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.
Compensation Position Compensation Range: $17.66 - $35.32 Hourly
Benefits
Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
Paid Time Off, Long-term and Short-term Disability, Retirement Savings
Health Saving Plans and Flexible Spending Accounts
Certification and education support
Generous Paid Time Off
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