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Insurance Appeals Jobs in Virginia (NOW HIRING)

UHS

Appeals Specialist

Richmond, VA · On-site

$21.26 - $31.89/hr

The Appeals Specialist is responsible for the resolution of all appeals relating to technical ... Works with insurance companies to secure payment on account balances outstanding * Properly ...

UHS

Appeals Specialist

Richmond, VA

The Appeals Specialist is responsible for the resolution of all appeals relating to technical ... Works with insurance companies to secure payment on account balances outstanding * Properly ...

RSI

Insurance Follow-up Agent

Sterling, VA · On-site +1

Resubmit reprints, rebills, and/or appeals to the insurance for processing * Identify and submit any needed contractual adjustments or other write-offs * Identify remaining patient responsibility ...

Forest Smiles

Dental Insurance Coordinator

Forest, VA · On-site

$20 - $24/hr

Responsibilities Verify patient insurance coverage and benefits prior to appointments to ensure accurate billing and treatment planning Manage insurance claims submissions, follow-ups, and appeals to ...

VSI

Insurance Authorization Specialist

Reston, VA · On-site

$19 - $25.25/hr

Familiarity in navigating the appeals process with insurances and external agencies * Solution oriented problem solver, helpful and strong organizational skills * Strong multitasking ability; detail ...

VSI

Insurance Authorization Specialist

Reston, VA · On-site

$52 - $68/hr

Familiarity in navigating the appeals process with insurances and external agencies * Solution oriented problem solver, helpful and strong organizational skills * Strong multitasking ability; detail ...

Riverside

$18.20 - $23.68/hr

Researches and writes appeals on denied accounts. Responds to billing claim inquiries and works to ... Responds and resolves insurance company requests for information and works to identify issues and ...

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Insurance Appeals information

What are insurance appeals?

Insurance appeals are formal requests made to an insurance company to reconsider and potentially overturn a denied claim or coverage decision. When an insurance provider refuses to pay for a service or treatment, policyholders or healthcare providers can submit an appeal with supporting documentation to argue why the claim should be approved. The appeals process typically involves several steps and may require detailed medical records, letters from healthcare professionals, and a clear explanation of why the original decision should be reversed.

What are the key skills and qualifications needed to thrive in insurance appeals?

To thrive in Insurance Appeals, you need a solid understanding of insurance policies, claims processes, medical terminology, and relevant regulations, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and knowledge of HIPAA compliance are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication set outstanding professionals apart. These skills are crucial for efficiently navigating complex appeals, ensuring compliance, and achieving positive outcomes for clients or organizations.

What are some common challenges faced in an insurance appeals role, and how can they be managed?

Professionals in Insurance Appeals often encounter challenges such as navigating complex policy guidelines, handling tight deadlines, and managing extensive documentation requirements. Staying organized and up-to-date on insurance regulations is essential to ensure accurate and timely submissions. Collaborating closely with medical providers, patients, and insurance representatives can help clarify information and strengthen appeal cases. Effective time management and clear communication are key to overcoming these challenges and achieving successful outcomes.

What are popular job titles related to Insurance Appeals jobs in Virginia?

For Insurance Appeals jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Insurance Appeals jobs in Virginia look for?

The top searched job categories for Insurance Appeals jobs in Virginia are:

What cities in Virginia are hiring for Insurance Appeals jobs?

Cities in Virginia with the most Insurance Appeals job openings:

Insurance Appeals jobs near you
Infographic showing various Insurance Appeals job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution.

Appeals Specialist

UHS

Richmond, VA • On-site

$21.26 - $31.89/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

Responsibilities
Atlantic Region CBO:
The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
https://jobs.uhs.com/atlantic-region-cbo
The Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist.
The Appeals Specialist is responsible for the resolution of all appeals relating to technical issues identified during the billing of claims and the follow-up on the clinical appeals performed by the facilities.
Key Responsibilities include:
  • Responsible for appeals relating to technical and clinical issues identified during the billing of claims
  • Works with HIM and facility clinicians to correct deficiencies in a timely manner Identify problem accounts and trends. Escalate as appropriate.
  • Works with insurance companies to secure payment on account balances outstanding
  • Properly documents the patient account with actions taken to resolve issue.
  • Meet productivity standards and departmental goals and objectives.
  • Other duties as assigned
Benefit & Rewards Highlights:
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Pet Insurance
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:
Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com .
From Fortune , ©2025 , 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Position Requirements:
  • High school diploma or equivalent
  • 1-3 years appeals experience preferred
  • Strong Microsoft Office skills (Excel, Word, Outlook)
  • Customer focused both internally and externally, strong attention to detail, the ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required
  • Familiarity with appeals and 1-3 years healthcare business office experience preferred
EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams:
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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