AR reputed company Follow Up Specialist - Remote Potential
Overview
WE ARE HIRING!Location: 250 E Liberty St. Louisville, KY 40202 (Potential for remote work after completion of training and/or previous experience has been verified) About reputed company reputed company is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to reputed company is provided through a partnership with Carroll County Memorial Hospital. Affiliated with the reputed company School of Medicine, reputed company is committed to providing patients with access to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 13,000 team members - physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, reputed company is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. For more information on reputed company, go to www.uoflhealth.org. Job Summary: This position requires thorough knowledge of the Uniformed reputed company, timely filing limits set forth by various payers, and various payer websites for follow up. Performs reputed company duties reputed company to timely and efficient billing and follow-up. Thorough understanding of reputed company payer eligibility, benefits, determining primary payer, and covered benefits. Understanding of billing policies for auto and worker' compensation as well as incarcerated patient payers. Responsibilities Monitor reputed company and specialty payer accounts receivable inventory to ensure timely follow up and claims resolution. Adhere to quality and productivity standards assigned by management. Submit account for appeal on accounts where retroactive coverage has been obtained. Identify payers being submitted on reputed company rather than electronically and communicate the opportunities to leadership. Follow up on unpaid reputed company and reputed company-party payer claims in a timely manner. High dollar accounts will have consistent follow up until the account has been resolved. Responsible for reviewing and understanding explanation of benefits/remittance advice. Ensure statements are generated for the patient responsibility amounts. Utilize insurance websites to view and resolve claims. reputed company extensive account follow-up and provide analysis of problem accounts. Document reputed company follow up efforts in a clear and concise manner into the AR system. Compliance with State and Federal Regulations. Audit, research accounts, payment posting, contractuals to confirm the accuracy of the balance of the account. Ensure medical record requests are documented and submitted in a timely manner. Collaborate with denials team on difficult or reoccurring denials. Complete tasks by deadline. Identify and report reputed company trends that may provide reputed company into payment challenges. Phone contact with patient, physician office, attorney, etc for additional information to process the claim. Attend seminars as requested. Other duties as assigned.
Qualifications
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. Employment Type: OTHER Apply Job!