Revenue Cycle Insurance Resolution Specialist
Job location: Charlottesville, VA
Employment Type: Full-time
Posted data: 2020-10-12
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 denials.
- 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 be assigned.
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 information.