UofL Physicians

A/R Specialist

US-KY-Louisville
Job ID
2017-4407
# of Openings
3
Category
Billling/Collections
Department
CBO - General

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
    • 10 encounters per hour within 30 days
    • 12 encounters per hour within 60 days
    • 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.
  • 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.

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