AR Commercial Billing Specialist

Overview

WE ARE HIRING!Location: 250 E Liberty Street Louisville, KY 40202 

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 1,000 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 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. For more information on UofL Health, go to www.uoflhealth.org.

 

Job Summary:

Efficiently submit medical insurance claims to commercial, auto and liability carriers.  This position requires thorough knowledge of the Uniformed Bill and various payer websites. 

Responsibilities

• 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.

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.