About the position

UofL Health is hiring for the position of AR Commercial Follow Up Specialist. This role is based in Louisville, KY, with potential for remote work after training and verification of previous experience. The position requires a thorough knowledge of the Uniformed Bill, timely filing limits set by various payers, and the ability to navigate various payer websites for follow-up. The specialist will perform all duties related to efficient billing and follow-up, ensuring a comprehensive understanding of commercial payer eligibility, benefits, and billing policies for auto and worker's compensation, as well as incarcerated patient payers.

Responsibilities

• Monitor commercial and specialty payer accounts receivable inventory to ensure timely follow up and claims resolution.
• Adhere to quality and productivity standards assigned by management.
• Submit account for appeal on accounts where retroactive coverage has been obtained.
• Identify payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
• Follow up on unpaid commercial and third-party payer claims in a timely manner.
• Ensure high dollar accounts have consistent follow up until resolved.
• Review and understand explanation of benefits/remittance advice.
• Generate statements for patient responsibility amounts.
• Utilize insurance websites to view and resolve claims.
• Perform extensive account follow-up and provide analysis of problem accounts.
• Document all follow up efforts in a clear and concise manner into the AR system.
• Ensure compliance with State and Federal Regulations.
• Audit and research accounts, payment posting, and contractuals to confirm account balance accuracy.
• Document and submit medical record requests in a timely manner.
• Collaborate with the denials team on difficult or recurring denials.
• Complete tasks by deadline.
• Identify and report trends that may provide insight into payment challenges.
• Contact patients, physician offices, attorneys, etc., for additional information to process claims.
• Attend seminars as requested.
• Perform other duties as assigned.

Requirements

• High School Diploma or GED.
• 1 year of patient registration, billing, or equivalent experience.
• Working knowledge of medical and insurance terms is desirable.

Nice-to-haves

• Ability to review, comprehend, and 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 and in writing with professionalism.
• Ability to meet productivity expectations.