UofL Health
AR Commercial Follow Up Specialist, 250 E Liberty, Potential Remote
UofL Health, Louisville, Kentucky, us, 40201
AR Commercial Follow Up Specialist, 250 E Liberty, Potential Remote
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.
Address: Home Office Remote, IN 46225
Shift: First Shift (United States of America)
Job Description Summary UofL Health is focused on delivering patient-centered care. This role requires thorough knowledge of the Uniformed Bill, timely filing limits, and payer follow-up. Responsibilities include billing, follow‑up, and claims resolution for commercial payers.
Overview Position requires knowledge of commercial payer eligibility, benefits, determining primary payer, and covered benefits. Also understanding of billing policies for auto, worker' compensation and incarcerated patient payers.
Responsibilities
Monitor commercial and specialty payer accounts receivable inventory to ensure timely follow up and claims resolution.
Adhere to quality and productivity standards assigned by management.
Submit accounts for appeal where retroactive coverage has been obtained.
Identify payers submitted on paper rather than electronically and communicate opportunities to leadership.
Follow up on unpaid commercial and third‑party payer claims in a timely manner.
High dollar accounts have consistent follow up until resolution.
Review and understand explanation of benefits/remittance advice.
Ensure statements are generated for the patient responsibility amounts.
Utilize insurance websites to view and resolve claims.
Perform extensive account follow‑up and provide analysis of problem accounts.
Document all follow up efforts in a clear and concise manner into the AR system.
Compliance with State and Federal Regulations.
Audit, research accounts, payment posting, contractuals to confirm accuracy of balance.
Ensure medical record requests are documented and submitted timely.
Collaborate with denials team on difficult or recurring denials.
Complete tasks by deadline.
Identify and report all trends that may provide insight into payment challenges.
Phone contact with patient, physician office, attorney, etc for additional information to process the claim.
Attend seminars as requested.
Other duties as assigned.
Qualifications Minimum Education & Experience
High School Diploma, or GED
1 year of patient registration, billing or equivalent experience
Working knowledge of medical and insurance terms is desirable.
Knowledge, Skills, & Abilities
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.
General computer knowledge, working with electronic filing.
Ability to communicate verbally and in writing with professionalism.
Ability to meet productivity expectations.
Seniority level Entry level
Employment type Full-time
Job function Accounting/Auditing and Finance
Industries: Hospitals and Health Care
Referrals increase your chances of interviewing at UofL Health by 2x
Get notified about new Accounts Receivable Specialist jobs in
Louisville, KY .
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Address: Home Office Remote, IN 46225
Shift: First Shift (United States of America)
Job Description Summary UofL Health is focused on delivering patient-centered care. This role requires thorough knowledge of the Uniformed Bill, timely filing limits, and payer follow-up. Responsibilities include billing, follow‑up, and claims resolution for commercial payers.
Overview Position requires knowledge of commercial payer eligibility, benefits, determining primary payer, and covered benefits. Also understanding of billing policies for auto, worker' compensation and incarcerated patient payers.
Responsibilities
Monitor commercial and specialty payer accounts receivable inventory to ensure timely follow up and claims resolution.
Adhere to quality and productivity standards assigned by management.
Submit accounts for appeal where retroactive coverage has been obtained.
Identify payers submitted on paper rather than electronically and communicate opportunities to leadership.
Follow up on unpaid commercial and third‑party payer claims in a timely manner.
High dollar accounts have consistent follow up until resolution.
Review and understand explanation of benefits/remittance advice.
Ensure statements are generated for the patient responsibility amounts.
Utilize insurance websites to view and resolve claims.
Perform extensive account follow‑up and provide analysis of problem accounts.
Document all follow up efforts in a clear and concise manner into the AR system.
Compliance with State and Federal Regulations.
Audit, research accounts, payment posting, contractuals to confirm accuracy of balance.
Ensure medical record requests are documented and submitted timely.
Collaborate with denials team on difficult or recurring denials.
Complete tasks by deadline.
Identify and report all trends that may provide insight into payment challenges.
Phone contact with patient, physician office, attorney, etc for additional information to process the claim.
Attend seminars as requested.
Other duties as assigned.
Qualifications Minimum Education & Experience
High School Diploma, or GED
1 year of patient registration, billing or equivalent experience
Working knowledge of medical and insurance terms is desirable.
Knowledge, Skills, & Abilities
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.
General computer knowledge, working with electronic filing.
Ability to communicate verbally and in writing with professionalism.
Ability to meet productivity expectations.
Seniority level Entry level
Employment type Full-time
Job function Accounting/Auditing and Finance
Industries: Hospitals and Health Care
Referrals increase your chances of interviewing at UofL Health by 2x
Get notified about new Accounts Receivable Specialist jobs in
Louisville, KY .
#J-18808-Ljbffr