AR Medicaid Specialist 250 E Liberty St
AR Medicaid Specialist 250 E Liberty St
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
WE ARE HIRING!
Location: 250 E Liberty Street Louisville KY 40202
(Poential remote work after completeion of training and/or experience verified)
Shift: First Fulltime 8:00a 4:30p
About UofL Health
UofL Health is a fully integrated regional academic health system with nine hospitals four medical centers Brown Cancer Center Eye Institute nearly 200 physician practice locations and more than 1000 providers in Louisville and the surrounding counties including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. Affiliated with the University of Louisville School of Medicine UofL Health is committed to providing patients with access to the most advanced care available. This includes clinical trials collaboration on research and the development of new technologies to both save and improve lives. With more than 13000 team members physicians surgeons nurses pharmacists and other highlyskilled health care professionals UofL Health is focused on one mission: to transform the health of communities we serve through compassionate innovative patientcentered care. For more information on UofL Health go to .
Job Summary:
This position requires thorough knowledge of the Uniformed Bill Medicaid and Managed Medicaid billing secondary deductible/coinsurance billing and payer resources for follow up. Performs all duties related to timely and efficient billing and followup. Thorough understanding of Medicaid eligibility benefits determining primary payer and covered benefits.
Responsibilities
- Monitor and resolve claims holding on discharged not final billed (DNFB) list.
- Ensure all claims are filed electronically except for some paper claims.
- Identify payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
- Follow up on unpaid Medicaid and Managed Medicaid claims in a timely manner.
- High dollar accounts will have consistent follow up until the account has been resolved.
- Responsible for reviewing and understanding 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 followup and provide analysis of problem accounts.
- Document all follow up efforts in a clear and concise manner into the AR system.
- Familiar with inpatient only procedure list and work with Revenue Cycle leadership to prevent denials
- Audit research accounts payment posting contractuals to confirm the accuracy of the balance of the account
- Ensure medical record requests are documented and submitted in a timely manner
- 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 claims.
- Work assigned accounts as directed while reaching daily productivity goals.
- Complete tasks by deadline.
- 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/in writing with professionalism.
- Ability to meet productivity expectations.
Required Experience:
Unclear Seniority
Employment Type
Unclear
