UofL Physicians

  • Insurance Follow-up Specialist, University of Louisville Hospital, Full-Time

    Job Locations US-KY-Louisville
    Job ID
    2018-6565
    # of Openings
    1
    Category
    Billling/Collections
    Department
    6500- PATIENT FINANCIAL SERVICES
  • Overview

    Follow-up on unpaid insurance claims for the University of Louisville Hospital and James Graham Brown Cancer Center to successfully collect monies due for services rendered.  Must have detail knowledge of the uniform bill guidelines and ability to be persistent in follow up of unpaid claims on a timely basis.

    Responsibilities

    • Perform extensive account follow-up and provide analysis of problem accounts.
    • Research account information to determine the necessary attachments or supporting documents needed for insurance company to process claim
    • Monitor and resolve claims holding on discharged not final billed (DNFB) list.
    • Identify payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
    • High dollar accounts will have consistent follow up until the account has been resolved.
    • Responsible for reviewing and understanding explanation of benefits/remittance advice.
    • Process incoming insurance correspondence resulting in claim being adjudicated for processing.
    • Assure statements are generated for the patient responsibility amounts.
    • Utilize insurance websites to view and resolve claims.
    • Document all follow up efforts 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
    • Assure medical record requests are documented and submitted in a timely manner.
    • Identify and report all trends that may provide insight into payment challenges.
    • Phone contact with patient, physician office, attorney, etc for additional information to process claims.
    • Utilize letter templates when sending written correspondence to the patient, as needed.
    • Recognize trends and/or reasons payers are denying claims.
    • Remove barriers to processing claims by calling the payer, working on-line claim systems when appropriate.
    • Work assigned accounts as directed while reaching daily productivity goals.
    • Complete tasks by deadline.
    • Participate in system testing and training
    • Attend seminars as requested.
    • Other duties as assigned.

    Qualifications

    • 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.

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed