Accounts Receivable Representative II, Nucleus Building, 7:00a-3:30p

UofL Health•Louisville, KY

56d•Onsite

About The Position

Job Description: WE ARE HIRING! Location:300 E. Market St., Louisville, KY 40202 Shift: 7:00a - 3:30p About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care. JOB SUMMARY The Accounts Receivable Representative II is an experienced role responsible for supporting the UofL Physicians 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 payer-specific denials and appealing denials as needed, charge correction, authorization and referral-type denial appeals, research and edu cation of changes to payor programs, and supporting special projects as needed.

Requirements

High school diploma or equivalent required
Three years related experience and/or training
Strong computer and keyboarding skills
Experience with Microsoft Office software
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
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

Nice To Haves

Associate degree preferred
Experience with GE Centricity billing software preferred

Responsibilities

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 ad vanced 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 communi cation 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.