Accounts Receivable Representative II, Nucleus Building, 8:00a-4:30p

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 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.

•     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

•     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

•     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