We are Hiring.

Location: 250 E Liberty Street Louisville, KY 40202

Shift: Days 

About Us

UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center.

With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Our Mission

As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

Job Summary

Efficiently submit medical insurance claims to commercial, auto and liability carriers.  This position requires thorough knowledge of the Uniformed Bill and various payer websites. 

Monitor and resolve claims holding on discharged not final billed (DNFB) list.

• Adhere to billing requirements and standards of compliance.
• Ensure all claims are filed electronically except for some paper claims.
• Process claims identified from insurance discovery.
• Ensure treatment authorization number is present, if applicable, in appropriate form locator field
• Thoroughly understand each of the condition, value, and occurrence codes for billing.
• Identify payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
• Responsible for reviewing and understanding explanation of benefits/remittance advice.
• Document all billing activity in a clear and concise manner into the AR system.
• Audit, research accounts, payment posting, contractuals to confirm the accuracy of the balance of the account.
• Evaluate late charges to determine if late charge claim will generate additional reimbursement.
• Ensure medical record requests are documented and submitted in a timely manner.
• Collaborate with denials team on difficult or reoccurring denials.
• Collaborate with AR Follow-up Specialist on difficult claims to identify barriers from the claim processing for payment.
• Complete tasks by deadline.
• Identify and report all trends that may provide insight into payment challenges.
• Proficient in billing scrubber system
• Work assigned accounts as directed while reaching daily productivity goals.
• Attend seminars as requested.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• High School Diploma, or GED
• 1 year of patient registration, billing or equivalent experience
• 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.

Benefits & Perks

• Competitive Pay & Benefits Options
• Paid Vacation, Sick days, and Holidays
• Free tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic
• Partner401K with Employer Match
• Opportunities for Advancement

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