UofL Physicians

A/R Specialist

US-KY-Louisville
Job ID
2017-2609
# of Openings
100
Category
Billling/Collections
Department
CBO - Follow

Overview

This position provides financial, clerical and administrative services to ensure efficient, timely and accurate payment of accounts. Completes follow-up for insurance and patients for multi-specialty practices, working invoices until resolution is found.

Responsibilities

Follow up with insurance carriers on all assigned accounts in the practice management system from initial invoice to payment in full.

File electronic and paper claims.

• Responsible for reviewing remits for accurate patient responsibility.

• Utilize insurance websites to view and resolve claims.

• Responsible for working denials until resolution.

• Achieve daily productivity metrics

• Accountability for attaining and maintaining productivity standards will improve quality throughout the CBO and allow a refocus on work flows including staff education and skills improvement. Training and education will be provided to staff as necessary in order to support productivity/quality position requirements.

• Graduated 90 day implementation o 10 encounters per hour within 30 days

o 12 encounters per hour within 60 days

o 15 encounters per hour within 90 days

• Process encounter documents daily with and achieve 95% accuracy rate

• Complete tasks by deadline

• Handle phone inquiries from both patient and insurance carriers regarding invoices.

• Use hospital data base to obtain needed information about patient medical history.

• Prepare refunds for both insurance and patients.

 

• Review aging reports in the practice management system.

• Maintain necessary documentation for future reference.

• Assist with other personal to resolve insurance issues.

• Responsible for closing and printing batch proofs daily.

• Report all trends of denials and omissions to Management for review.

• Work assigned accounts as directed while reaching daily productivity goals.

• Work with Guarantors on self-pay balances.

• Set up payment plans and assess unpaid invoices for Collection Agency.

• Review Self Pay accounts for insurance coverage.

• Attend seminars as requested.

• Other duties as assigned.

 

Qualifications

 High School Diploma, or GED

• 1 year of medical office experience, preferred.

• Prior experience in working with collections from insurance carriers.

• 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.

 

WORKING CONDITIONS

 

Sedentary Work: Lifting 10lbs. 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 the sounds by the ear.)

• Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).

• Consistent use of hand movement for keyboarding purposes.

 

JOB REQUIREMENTS

 

Candidates upon hire will complete an electronic I-9 verification.

• Only those candidates whose experience best meets our requirements will be contacted.

• University of Louisville Physicians is an Equal Opportunity Employer.

• Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy

 

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