Accounts Receivable Representative II, Nucleus Building, 8a-430p

About the role

• Primary Location: Nucleus Building - ULP - AMG
• Address: 300 E. Market St. Louisville, KY 40202
• Shift: First Shift (United States of America)

About the role

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.

Job Responsibilities

• Monitor and execute work against the assigned ETM work queues.
• Research, file, and follow up on appeals with payors.
• Research and resolve claim denials or rejections based on work team assignment.
• Ability to monitor work queues and determine denial trends.
• Ability to demonstrate system knowledge relative to work queues, research, and resolution of assigned unpostables and payment batches.
• Follow up on calls or emails from Patient Financial Specialists concerning patients requesting ad­vanced assistance with their account.
• Follow up with the correct clinical contact for additional information or corrections, as neces­sary.
• Update charges and refile electronic or paper claims.
• Meet productivity and quality standards as set by management.
• Inform management and relevant organizational stakeholders of correspondence and communi­cation problems with service locations.
• Must have the ability to get along with others in a close office setting.
• Must have the ability to concentrate for extended periods of time.
• Must be willing to function and cooperate as a member of a team.

Minimum Education and Experience

• High school diploma or equivalent required
• Associate degree preferred
• Three years related experience and/or training
• Strong computer and keyboarding skills
• Experience with Microsoft Office software
• Experience with GE Centricity billing software preferred
• Working knowledge of CPT, HCPCS, and ICD-10 coding
• Ability to read, interpret, and/or follow up on an EOB denial and understand medical terminol­ogy

Knowledge, Skills, and Abilities

• General knowledge of healthcare payors and government agencies
• Knowledge of healthcare terminology, laws, and regulations
• Advanced knowledge of denial types and resolution steps
• Ability to take direction and work independently
• Knowledge and experience working with Microsoft Office applications
• Proficient with data entry and multitasking in a Windows environment
• Strong communication and problem-solving skills
• Ability to meet productivity and quality standards
• Ability to communicate verbally/in writing with professionalism

Working Conditions

• Sedentary Work: Lifting 10 pounds maximum and occasionally lifting and/or carrying items as needed
• Frequent Talking: Expressing or exchanging ideas by means of the spoken word
• Frequent Hearing: Perceiving the nature of sounds by the ear
• Frequent Seeing: Visual acuity, depth perception, field of vision, color vision
• Consistent use of hand movement for keyboarding purposes