Position Overview
The CBO Appeals Coordinator handles complex appeals for denied claims, retro authorization appeals and/or underpayment reconsiderations for all facilities within UVA Health System or Professional Medical Groups. Coordinates with third party vendors for additional appeal support as needed. Provides appeals support for status of accounts that have been appealed with payors. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The purpose is to achieve the CBO revenue cycle goals for the Health System and to ensure minimum loss of revenue and maximum payment for services rendered. The ability to maintain a working knowledge of carrier contracts/changes, clinical policy/procedures and departmental policies and procedures is required. The position requires the ability to effectively communicate the root cause of the denials back to departments within the Central Billing Office in order to prevent future lo...