Accounts Receivable Representative II, Nucleus Building, 7:00a-3:30p

Accounts Receivable Representative II

Location: Nucleus Building - ULP - AMG

Shift: First Shift (United States of America)

About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians' academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow's physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.

JOB SUMMARY

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 payer-specific denials and appealing denials as needed, charge correction, authorization and referral-type denial appeals, research and education of changes to payor programs, and supporting special projects as needed.

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