Accounts Receivable Representative II, Nucleus Building, 8:00a-4:30p
Accounts Receivable Representative II, Nucleus Building, 8:00a-4:30p
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Salary Not Disclosed
1 Vacancy
Job Description
Primary Location:
Nucleus Building - ULP - AMGAddress:
300 E. Market St. Louisville KY 40202Shift:
First Shift (United States of America)Job Description Summary:
The job summary for this position is not currently on file electronically. Please see your supervisor or Human Resources Representative for a hard copy before you complete your acknowledgment.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.
Monitor and execute work within the Epic Work Queues
Research and resolve claim denials or rejections based on work team assignment
Key claim detail information into various payor websites upload medical records to various websites to resolve denials
Follow up with correct insurance companies for claims with no response or for claims denied due to incorrect insurance information or denials for authorizations.
Update charges and refile electronic or paper claims as needed. Follow up on calls or emails from Patient Financial Specialists concerning patients requesting advanced assistance with their accounts.
Inform management and relevant organizational stakeholders of correspondence and communication problems with service locations.
Shift Requirements:
Shift Length (in hours):
8
# Shifts/Week:
4:30
Overtime Required:
Infrequently Sometimes Often n/a (exempt position)
Other Functions:
- Must have the ability to get along with others in a close office setting.
- Must have the ability to concentrate for long periods of time
- Must be willing to function and cooperate as a member of the team
- Maintain compliance with all company policies procedures and standards of conduct.
- Performs other duties as assigned.
Additional Job Description:
Job Requirements
(Education Experience Licensure and Certification)
Education:
- High school diploma or equivalent (required)
- Working knowledge of CPT HCPCS and ICD-10 coding (required)
- Advanced knowledge of denial types and resolution steps
Experience:
- 3 years related experience (required)
- Strong computer and keyboarding skills
- Strong communication and problem solving skills
- Proficient with data entry and multitasking in a Windows environment
- Desired experience with Microsoft Office Software (preferred)
- Ability to meet productivity and quality standards
- Ability to communicate verbally/in writing with professionalism
Licensure:
- No license requirements
Certification:
- No certification requirements
Job Competency:
Knowledge Skills and Abilities critical to this role:
- Strong Computer and keyboarding skills
- Experience with Microsoft Office software
- Working Knowledge of CPT HCPCS and ICD-10 coding
- Ability to read interpret and/or follow up on an explanation of benefits denial and understand medical terminology
- General knowledge of healthcare payors and government agencies
- Ability to take direction and work independently
- Proficient with data entry and multitasking in a Windows environment
- Ability to communicate verbally and in writing with professionalism
Language Ability:
- Must be able to communicate effectively in both verbal and written formats.
Reasoning Ability:
- Able to critically think through the process of claims.
- Able to determine next steps for claims resolution
Computer Skills:
- Strong keyboarding with data entry efficiency
- Knowledge of Epic Billing preferred
Additional Responsibilities:
- Demonstrates a commitment to service organization values and professionalism through appropriate conduct and demeanor at all times.
- Maintains confidentiality and protects sensitive data at all times.
- Adheres to organizational and department specific safety standards and guidelines.
- Works collaboratively and supports efforts of team members.
- Demonstrates exceptional customer service and interacts effectively with physicians patients residents visitors staff and the broader health care community.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
