AR Commercial Biller, 250 E Liberty, 8:00a-4:30p

Insurance Claims Processor

Efficiently submit medical insurance claims to commercial, auto and liability carriers. This position requires thorough knowledge of the Uniformed Bill and various payer websites.

Essential Functions:

• Monitor and resolve claims holding on discharged not final billed (DNFB) list.
• Adhere to billing requirements and standards of compliance.
• Ensure all claims are filed electronically except for some paper claims.
• Process claims identified from insurance discovery.
• Ensure treatment authorization number is present, if applicable, in appropriate form locator field
• Thoroughly understand each of the condition, value, and occurrence codes for billing.
• Identify payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
• Responsible for reviewing and understanding explanation of benefits/remittance advice.
• Document all billing activity in a clear and concise manner into the AR system.
• Audit, research accounts, payment posting, contractuals to confirm the accuracy of the balance of the account.
• Evaluate late charges to determine if late charge claim will generate additional reimbursement.
• Ensure medical record requests are documented and submitted in a timely manner.
• Collaborate with denials team on difficult or reoccurring denials.
• Collaborate with AR Follow-up Specialist on difficult claims to identify barriers from the claim processing for payment.
• Complete tasks by deadline.
• Identify and report all trends that may provide insight into payment challenges.
• Proficient in billing scrubber system
• Work assigned accounts as directed while reaching daily productivity goals.
• Attend seminars as requested.
• Other duties as assigned.

Job Requirements (Education, Experience, Licensure and Certification) Education: High School Diploma, GED (required)Experience: 1 year of patient registration, billing or equivalent experience (required) Working knowledge of medical and insurance terms (preferred)Job Competency: Knowledge, Skills, and Abilities critical to this role: Ability to review, comprehend, discuss HCFA billing with Insurance or Government agencies Knowledge of general insurance requirements Experience working directly with EOBs and contractual adjustments Ability to meet productivity expectations

Language Ability: Ability to communicate verbally/in writing with professionalism Computer Skills: General computer knowledge, working with electronic filing

UofL Health Core Expectation: At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by: Honoring and caring for the dignity of all persons in mind, body, and spirit Ensuring the highest quality of care for those we serve Working together as a team to achieve our goals Improving continuously by listening, and asking for and responding to feedback Seeking new and better ways to meet the needs of those we serve Using our resources wisely Understanding how each of our roles contributes to the success of UofL Health