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Insurance Appeals Jobs in Virginia (NOW HIRING)

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 ...

UHS

Appeals Specialist

Richmond, VA · On-site

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 · 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 · 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 ...

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

$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

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

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Insurance Appeals information

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 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 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 89% Full Time, and 11% Part Time. Highlights an 87% In-person, 4% Hybrid, and 9% Remote job distribution.

CBO Insurance Appeals Specialist

University of Virginia

Charlottesville, VA • On-site

$16.64 - $33.28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

University Of Virginia rating

7.9

Company rating: 7.9 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

208th of 618 rated colleges and universities

Job description

These jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis.
These roles are responsible for overseeing the entire process of billing, collecting, and reconciling patient accounts. Revenue cycle staff manage claims submission, payment processing, and account resolution to ensure that the university healthcare system captures and maximizes revenue while maintaining compliance with regulations.
Individual contributors who provide support to an organization, often in direct service, operational, technical or administrative functions. Spends majority of time in the delivery of support services or activities, typically under supervision. Opportunities for progression outside this career stream are typically limited without additional education or significant training and experience.
Seasoned individual contributor. Works under limited supervision for routine situations. Provides assistance and training to lower level employees. Problems are typically non-routine and require analysis to understand. Makes minor adjustments to working methods and independently develops solutions to problems. Explains practices, procedures and policies to reach agreement with others outside of the Job Area.
MINIMUM REQUIREMENTS:
Education: High School Diploma or equivalent required; Associates degree preferred.
Experience: 3+ years relevant experience required.
Licensure: None
PHYSICAL DEMANDS
Job requires sitting for prolonged periods, attention to detail, must be able to hear, speak, read and write legibly.
The pay range for this role is $16.64 - $33.28 hourly. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
Benefits
  • Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
  • Paid Time Off, Long-term and Short-term Disability, Retirement Savings
  • Health Saving Plans, and Flexible Spending Accounts
  • Certification and education support
  • Generous Paid Time Off

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 .

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About University of Virginia

Sourced by ZipRecruiter

The University of Virginia is distinctive among institutions of higher education. Founded by Thomas Jefferson in 1819, the University sustains the ideal of developing, through education, leaders who are well-prepared to shape the future of the nation.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Charlottesville, VA, US

Year founded

1819

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