Insurance Reimbursement Auditor

October 28

🐎 Kentucky – Remote

Although this job is listed in Kentucky, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

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UofL Health

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UofL Health is a not-for-profit 501(c)(3) fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, more than 250 physician practice locations, and more than 1,200 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital.

10,000+ employees

📋 Description

• Review and follow up on paid insurance claims to determine if reimbursement is accurate • Provide detailed analysis of findings and payer trends • Review claim remittances to determine reimbursement rates • Identify opportunities with underpayment or contract language • Perform extensive review of high dollar accounts • Responsible for reviewing explanation of benefits from third-party payers • Process and review incoming correspondence from payers • Audit, research accounts, payment posting, and contractuals to confirm accuracy • Communicate payment discrepancies to payer specific representatives

🎯 Requirements

• High School Diploma or GED • 2-3 years of billing, insurance follow-up or insurance payor experience • Experience performing account resolution with third-party payors is preferred • Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook

🏖️ Benefits

• Health insurance • retirement plans • Paid time off • flexible work arrangements • professional development