CBO Insurance Resolution Specialist

Turn complex insurance denials into measurable financial results for a nationally recognized academic health system.

Join UVA Health's Revenue Cycle team in a fully remote, full-time position where your coding knowledge, analytical judgment, and persistence will help secure appropriate reimbursement for services delivered. You will manage specialized coding and global denials while contributing to lower accounts receivable days, reduced aging, and stronger revenue cycle performance.

The Role

As a CBO Insurance Resolution Specialist, you will investigate and resolve denied insurance claims across assigned work queues. You will examine claim details, identify the cause of each denial, determine the appropriate resolution pathway, and take focused action through appeals, reconsiderations, payor calls, and online payor resources.

Your average day will combine independent account analysis with ongoing coordination across a supportive Revenue Cycle team. The work is fast-paced and production-focused, with priorities that may shift according to account age, value, and organizational needs.

Key responsibilities include:

• Analyze and resolve coding, global, included, and bundled denials

• Review assigned claims and charges for accurate, timely follow-up

• Prepare appeals and reconsideration requests supported by relevant claim information

• Communicate with insurance payors to clarify denial reasons and advance resolution

• Navigate payor websites and internal systems to research claim status

• Prioritize older dates of service, high-dollar accounts, and aging balances

• Maintain organized documentation and continuity across assigned accounts

• Meet established productivity and performance expectations

• Adapt to changing work queues and assist with additional denial categories as needed

• Apply knowledge of coding and denial processes to pursue appropriate payment

This opportunity is well suited for someone who enjoys detailed investigation, recognizes patterns across complex claims, and remains effective as priorities evolve. CPC certification and two years of related insurance denial experience are preferred.

Why UVA Health

At UVA Health, revenue cycle professionals support more than financial performance. Their work helps sustain the clinical care, research, education, and community service delivered across an integrated academic health system.

In this role, you will join a team focused on resolving difficult claims and strengthening reimbursement outcomes. You will have the autonomy to manage assigned work while remaining connected to supportive, engaged leaders who take time to know and develop their team members.

Highlights of the opportunity include:

• Fully remote work with flexible scheduling options

• A structured training schedule, typically from 6:00 a.m. to 2:30 p.m., followed by a schedule established for the selected candidate

• Specialized exposure to coding and global denial resolution

• Meaningful work that directly supports accounts receivable and revenue cycle outcomes

• A collaborative environment that values adaptability, learning, and focused problem-solving

• Leadership that remains accessible and actively engaged with employees

• Opportunities to work independently while contributing to shared team objectives

• Demonstrated potential for professional growth, with the previous team member advancing through promotion

• Connection to an integrated health system known for academic medicine, innovation, advanced specialty care, research, and education

If you are energized by complex denial work and want to apply your expertise in an environment where accuracy, persistence, and sound judgment matter, UVA Health offers the opportunity to make a visible contribution.

Why People Love Living in Charlottesville

Although this position is fully remote, UVA Health's roots are in Charlottesville, a vibrant community near the Blue Ridge Mountains. The area brings together outdoor recreation, locally owned restaurants, arts and live entertainment, University events, and a distinctive pedestrian Downtown Mall. Healthcare professionals and families can enjoy a range of urban, neighborhood, and rural living options, creating space for both professional connection and life beyond work.

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.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
• Generous Paid Time Off
• Retirement Savings
• Long-term and Short-term Disability
• Health Saving Plans, and Flexible Spending Accounts
• Certification and Education Support

UVA 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.