Accounts Receivable Representative II, Nucleus Building

Primary Location:

Nucleus Building - ULP - AMG

Address:

300 E. Market St.Louisville, KY 40202

Shift:

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.

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