We are hiring at UofL Physicians: Accounts Receivable Representative III

Locations: 300 E. Market St., Louisville, KY 40202

Shift: 1^st Shift, (8 hours, 5 days) M-F

JOB SUMMARY

The Accounts Receivable Representative (ARR) III is a senior role with deep coding and reimbursement experience that is responsible for supporting the UofL Physicians CBO primarily through advanced or complex denial research and appeal. In addition to researching and resolving more complex denials, the ARR Ill works as a point person to monitor and resolve aged denials, develop education and training ma terial, lead or take part in special projects and act as a subject matter expert for their respective payor or specialty.

JOB RESPONSIBILITIES

• 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.
• Communicate claim trends, whether as a result of denials or a decrease in payments, to man agement, as needed.
• Ability to demonstrate system knowledge relative to work queues, research. and resolution of assigned unpostables and payment batches.
• Follow up with the correct clinical contact for additional information or corrections, as neces sary.
• Meet productivity and quality standards as set by management.
• Inform management and relevant organizational stakeholders of correspondence and communi cation problems with service locations.
• Educate and effectively communicate coding denials or payor policies to patients, payors, coworkers, managers, and others as necessary.
• Assist junior coworkers, and work within a team environment to accomplish the goals of the CBO.
• Update charges and refile electronic or paper claims.
• 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.

MINIMUM EDUCATION AND EXPERIENCE

• High school diploma or equivalent required
• Associate degree preferred
• Six years related experience and/or training
• CPC or AHIMA certification preferred with requirement 6 months post-hire date
• 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

KNOWLEDGE, SKILLS, AND ABILITIES

• Advanced 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 of health care specialty billing, reimbursement, and coding requirements
• Ability to stay informed of changing payor billing, reimbursement and coding requirements or coding rules.
• Knowledge and experience working with 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
• Ability to stay informed of coding recertification needs and keep certification in good standing

WORKING CONDITIONS

• 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