Lead CBO Insurance Resolution Specialist

Provides oversight and operational guidance in the day to day operations of the Central Billing Office assigned team(s). Performs area specific billing, denial, follow up and customer service functions of a complex and specialized nature requiring the application and interpretations of policies and procedures for all facilities assigned to the CBO. The representative will monitor analyze and conduct reviews for quality using advanced revenue cycle knowledge. They will proactively trouble shoot issues with patient accounts improve systems and the performance of the related staff and process. The incumbent will also research and answer all question 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 Lead representative will train and mentor colleagues in billing, denial and follow up teams with the skills of effective communication, revenue cycle functions decision making, organizational knowledge and skills to meet job performance, job success and performance improvement opportunities. The representative will also respond knowledgeably to revenue cycle colleagues, PFS team members and other department inquiries. The goal is to resolve all of the insurance billing denial and follow up issues to meet CBO goals and to provide the best customer satisfaction to our patients.

• The Lead is the first point of contact for questions for the assigned team members and provides operation support and guidance on a daily basis.
• Demonstrates the skills of effective communication, decision-making and organization to ensure efficient job performance and job success.
• Effectively evaluates expected reimbursement and payments to insure they are processed correctly for all lines of business and facilities assigned to the CBO.
• Maintains advanced and current knowledge of relating policy and procedures in order to correct, improve and troubleshoot any relating issues problems and concerns.
• Champion for employee engagement and other process improvement initiatives.
• In addition to the above job responsibilities, other duties may be assigned.

Position Compensation Range: $18.73 - $29.03 Hourly

MINIMUM REQUIREMENTS

Education: High School Graduate or Equivalent

Experience: 3 years of relevant experience.

Licensure: None required

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click here to read more about UVA’s commitment to non-discrimination and equal opportunity employment.