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.
• 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.
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.
• 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.
• 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