Primary Location: Nucleus Building - ULP - AMG
Address: 300 E. Market St. Louisville, KY 40202
Shift: First Shift (United States of America)
Job Description:
The Accounts Receivable Representative II is an experienced employee responsible for supporting the UofL Physicians Central Business Office (CBO) in a variety of financial, clerical, or administrative duties based on team assignment. These duties may include research and follow up on specialty or payor specific denials and appealing denials as needed, charge corrections, authorization and referral type denial appeals, research and education of changes to payor programs, and supporting special projects as needed.
Additional Job Description:
Monitor and execute work against the assigned ETM work queues.
Research, file, and follow up on appeals with payors.
Research and resolve claim denials or rejections based on work team assignment.
Ability to monitor work queues and determine denial trends.
Ability to demonstrate system knowledge relative to work queues, research, and resolution of assigned unpostables and payment batches.
Follow up on calls or emails from Patient Financial Specialists concerning patients requesting advanced assistance with their account.
Follow up with the correct clinical contact for additional information or corrections, as necessary.
Update charges and refile electronic or paper claims.
Meet productivity and quality standards as set by management.
Inform management and relevant organizational stakeholders of correspondence and communication problems with service locations.
Must have the ability to get along with others in a close office setting.
Must have the ability to concentrate for extended periods of time.
Must be willing to function and cooperate as a member of a team.
Minimum Education and Experience:
High school diploma or equivalent required
Associate degree preferred
Three years related experience and/or training
Strong computer and keyboarding skills
Experience with Microsoft Office software
Experience with GE Centricity billing software preferred
Working knowledge of CPT, HCPCS, and ICD-10 coding
Ability to read, interpret, and/or follow up on an EOB denial and understand medical terminology
Knowledge, Skills, and Abilities:
General knowledge of healthcare payors and government agencies
Knowledge of healthcare terminology, laws, and regulations
Advanced knowledge of denial types and resolution steps
Ability to take direction and work independently
Knowledge and experience working with Microsoft Office applications
Proficient with data entry and multitasking in a Windows environment
Strong communication and problem-solving skills
Ability to meet productivity and quality standards
Ability to communicate verbally/in writing with professionalism
Working Conditions:
Sedentary Work: Lifting 10 pounds maximum and occasionally lifting and/or carrying items as needed
Frequent Talking: Expressing or exchanging ideas by means of the spoken word
Frequent Hearing: Perceiving the nature of sounds by the ear
Frequent Seeing: Visual acuity, depth perception, field of vision, color vision
Consistent use of hand movement for keyboarding purposes
Accounts Receivable Representative II, Nucleus Building, 8:00a-4:30p • Louisville, KY, United States
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