Job Description

Primary Location:

Nucleus Building - ULP - AMG

Address:

300 E. Market St.
Louisville, KY 40202

Shift:

First Shift (United States of America)UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.

With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

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 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.

Other Functions:

• 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.

Additional Job Description:

Education:

• High school diploma or equivalent (required)
• Working knowledge of CPT, HCPCS, and ICD-10 coding (required)
• Advanced knowledge of denial types and resolution steps

Experience:

• 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
• Desired experience with Microsoft Office Software (preferred)
• Ability to meet productivity and quality standards
• Ability to communicate verbally/in writing with professionalism