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:
JOB 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 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 preferredThree years related experience and/or training
Strong computer and keyboarding skillsExperience 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 stepsAbility to take direction and work independently
Knowledge and experience working with Microsoft Office applicationsProficient with data entry and multitasking in a Windows environment
Strong communication and problem-solving skillsAbility 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 wordFrequent Hearing: Perceiving the nature of sounds by the ear
Frequent Seeing: Visual acuity, depth perception, field of vision, color visionConsistent use of hand movement for keyboarding purposes
Numbers & Facts
Location
Louisville, Kentucky
Skills
Accounts Receivableunmatched
Administrative Skillsunmatched
Billing Softwareunmatched
Communication Skillsunmatched
Current Procedural Terminology (CPT)unmatched
Data Entryunmatched
Depth Perceptionunmatched
Estimation of Benefits (EOB)unmatched
Financial Servicesunmatched
GE Centricityunmatched
Governmentunmatched
Healthcareunmatched
Healthcare Common Procedure Coding System (HCPCS)unmatched
High School Diplomaunmatched
ICD-10unmatched
Medical Officeunmatched
Medical Terminologyunmatched
Microsoft Officeunmatched
Microsoft Windows Operating Systemunmatched
Multitaskingunmatched
Nucleusunmatched
Patient Care Denialsunmatched
Problem Solving Skillsunmatched
Project Trackingunmatched
Quality Metricsunmatched
Regulationsunmatched
Trend Analysisunmatched
Writing Skillsunmatched
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