Job Description

Primary Location:

Nucleus Building - UMC

Address:

300 E. Market St.
Louisville, KY 40202

Shift:

First Shift (United States of America)

The Accounts Receivable Representative I is an entry-level role 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 cash posting, no-response and demographic-related denial follow-up, medical records or missed documentation requests, entering secondary claim details on payor websites, and additional duties as determined by CBO management based on skills reflective of the role.

• Monitors and execute work within Work Queues
• Researches and brings resolution to assigned unpostables and payment batches

• Enters claim detail information into various payor websites and uploads medical records to required sites or databases to resolve denials

• Meets productivity and quality standards as set by management
• Works closely with others as a member of a team in a close office setting
• Maintains compliance with all company policies, procedures and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

Additional Job Description:

Job Requirements

(Education, Experience, Licensure and Certification)

Education:

• High school diploma or GED/equivalent (required)

Experience:

• One (1) year of related experience and or/training (preferred)

Job Competency:

Knowledge, Skills, and Abilities critical to this role:

• Must have the ability to concentrate for long periods of time
• Must have knowledge of insurance coverages and basic knowledge of medical billing processes and medical terminology
• Ability to demonstrate knowledge relative to Work Queues
• Knowledge of or ability to learn Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD-10) coding
• Ability to read, interpret and/or follow up on an explanation of benefits
• General knowledge of healthcare payors and government agencies
• Ability to take direction and work independently

Language Ability:

• Must be able to communicate effectively in both verbal and written formats in a professional setting

Reasoning Ability

• Able to critically think through the process of claims
• Able to determine next steps for claims resolution

Computer Skills:

• Strong keyboarding with data entry efficiency
• Proficient with data entry and multitasking in a Windows environment
• Experience with Microsoft Office software
• Knowledge of Epic Billing preferred

Additional Responsibilities:

• 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

UofL Health Core Expectation: