AR Commercial Biller, 250 E Liberty, 800a-430p
AR Commercial Biller, 250 E Liberty, 800a-430p
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Salary Not Disclosed
1 Vacancy
Job Description
Primary Location:
250 E Liberty StAddress:
250 East Liberty St. Louisville KY 40202Shift:
First Shift (United States of America)Job Description Summary:
Job Description:
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.
With more than 12000 teammembersphysicians surgeons nurses pharmacists and other highly skilled health careprofessionalsUofL Health is focused on one mission: deliveringpatient-centered care to each and every patient each and every day.
Position Summary and Purpose
Efficiently submit medical insurance claims to commercial auto and liability carriers. This position requires thorough knowledge of the Uniformed Bill and various payer websites.
Additional Job Description:
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.
Shift Requirements:
Shift Length (in hours):
8
# Shifts/Week:
5
Overtime Required:
Infrequently Sometimes Often n/a (exempt position)
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
Employment Type
Full-Time
