Accounts Receivable Representative II, Nucleus Building, 8a-430p

Primary Location:

Nucleus Building - ULP - AMG

Address:

300 E. Market St.
Louisville, KY 40202


Shift:

First Shift (United States of America)

Job Description Summary:

Job Description:

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 preferred

Three years related experience and/or training

Strong computer and keyboarding skills

Experience 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 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

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 word

Frequent Hearing: Perceiving the nature of sounds by the ear

Frequent Seeing: Visual acuity, depth perception, field of vision, color vision

Consistent use of hand movement for keyboarding purposes