Accounts Receivable Representative II, Nucleus Building

UofL Health•Louisville, KY

2d•Onsite

About The Position

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. Monitor and execute work within the Epic Work Queues Research and resolve claim denials or rejections based on work team assignment Key claim detail information into various payor websites, upload medical records to various websites to resolve denials Follow up with correct insurance companies for claims with no response or for claims denied due to incorrect insurance information or denials for authorizations. Update charges and refile electronic or paper claims as needed. Follow up on calls or emails from Patient Financial Specialists, concerning patients requesting advanced assistance with their accounts. Inform management and relevant organizational stakeholders of correspondence and communication problems with service locations.

Requirements

High school diploma or equivalent (required)
Working knowledge of CPT, HCPCS, and ICD-10 coding (required)
Advanced knowledge of denial types and resolution steps
3 years related experience (required)
Strong computer and keyboarding skills
Strong communication and problem solving skills
Proficient with data entry and multitasking in a Windows environment
Ability to meet productivity and quality standards
Ability to communicate verbally/in writing with professionalism
Must be able to communicate effectively in both verbal and written formats.
Able to critically think through the process of claims.
Able to determine next steps for claims resolution
Strong keyboarding with data entry efficiency
Knowledge of Epic Billing preferred

Nice To Haves

Desired experience with Microsoft Office Software (preferred)

Responsibilities

Monitor and execute work within the Epic Work Queues
Research and resolve claim denials or rejections based on work team assignment
Key claim detail information into various payor websites, upload medical records to various websites to resolve denials
Follow up with correct insurance companies for claims with no response or for claims denied due to incorrect insurance information or denials for authorizations.
Update charges and refile electronic or paper claims as needed.
Follow up on calls or emails from Patient Financial Specialists, concerning patients requesting advanced assistance with their accounts.
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 long periods of time
Must be willing to function and cooperate as a member of the team
Maintain compliance with all company policies, procedures and standards of conduct.
Performs other duties as assigned.
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members.
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.