Revenue Cycle Insurance Resolution Specialist
Company: University of Virginia
Posted on: June 6, 2021
The Insurance Resolution Specialist handles and resolves all
Insurance billing follow up and denial issues to ensure that
Medical Center receives correct reimbursements from the insurance
companies. They are responsible of ensuring that all claims billed
are in compliance with all federal and state requirements and also
meeting the requirements of payers. The incumbent will serve as the
liaison between insurance companies patients and the departments to
ensure the claims are processed and followed up to meet Medical
Center goals of Account Receivable Days Aging Account percentages
and Cash goals. They will also research and answer 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. The
representative utilizes multiple electronic billing Medical
retrieval systems and payer websites as well as the knowledge of
medical billing and coding guide- lines to resolve insurance
denials and guarantor/patient inquiries. The representative must be
able to respond knowledgeably to a wide range of billing and
complex denial issues when dealing with insurance companies. The
goal is to resolve all of the billing/denial issues through
positive relationships/communication with the insurance companies
patients and internal customers.
- Performs inpatient/outpatient billing process.
- Performs inpatient/outpatient follow up and working insurance
- Resolves insurance billing/payments .collection .process
through proven knowledge of revenue cycle.
- Performs optimum customer service to all inquiries from
insurance companies UVA Dept.'s and patients.
- Performs analysis of patient accounts6. Performs following
department functions to achieve department goals.
- In addition to the above job responsibilities, other duties may
Position Compensation Range: $13.65 - $21.16 Hourly
Education: High School Graduate or Equivalent
Experience: 1 year of relevant experience.
Licensure: None required
Job requires sitting for prolonged periods. Proficient
communicative, auditory and visual skills; Attention to detail and
ability to write legibly.
The University of Virginia, including the UVA Health System
which represents the UVA Medical Center, Schools of Medicine and
Nursing, UVA Physician's Group and the Claude Moore Health Sciences
Library, are fundamentally committed to the diversity of our
faculty and staff. We believe diversity is excellence expressing
itself through every person's perspectives and lived experiences.
We are equal opportunity and affirmative action employers. All
qualified applicants will receive consideration for employment
without regard to age, color, disability, gender identity or
expression, marital status, national or ethnic origin, political
affiliation, race, religion, sex (including pregnancy), sexual
orientation, veteran status, and family medical or genetic
Keywords: University of Virginia, Charlottesville , Revenue Cycle Insurance Resolution Specialist, Other , Charlottesville, Virginia
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