AR Commercial Follow Up Specialist

🔥 13 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

UofL Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

UofL Health is a fully integrated academic health system focused on delivering patient-centered care. It is a not-for-profit organization with nine hospitals, four medical centers, and over 250 physician practice locations, employing more than 1,200 providers in and around Louisville, Kentucky, including southern Indiana. Affiliated with the University of Louisville School of Medicine, UofL Health emphasizes advanced patient care and participates in clinical trials and research to enhance health outcomes. With a workforce of over 14,000 healthcare professionals, UofL Health aims to transform community health through innovation and compassion.

📋 Description

• Monitor commercial and specialty payer accounts receivable inventory to ensure timely follow-up and claims resolution • Adhere to quality and productivity standards assigned by management • Submit accounts for appeal where retroactive coverage has been obtained • Identify payers submitted on paper rather than electronically and communicate opportunities to leadership • Follow up on unpaid commercial and third-party payer claims • Consistently follow up on high-dollar accounts until resolution • Review and understand explanations of benefits and remittance advice • Ensure statements are generated for patient responsibility amounts • Utilize insurance websites to view and resolve claims • Perform extensive account follow-up and provide analysis of problem accounts • Document follow-up efforts clearly and concisely in the AR system • Audit and research accounts, payment posting, and contractuals to confirm account balance accuracy • Ensure medical record requests are documented and submitted timely • Collaborate with the denials team on difficult or recurring denials • Complete tasks by deadlines • Identify and report trends that may provide insight into payment challenges • Contact patients, physician offices, attorneys, and others by phone for additional claim information • Attend seminars as requested • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED • 1 year of patient registration, billing, or equivalent experience • Working knowledge of medical and insurance terms is desirable • Ability to review, comprehend, and discuss HCFA billing with insurance or government agencies • Knowledge of general insurance requirements • Experience working directly with EOBs and contractual adjustments • General computer knowledge and experience working with electronic filing • Ability to communicate verbally and in writing with professionalism • Ability to meet productivity expectations • Thorough knowledge of the Uniformed Bill • Knowledge of timely filing limits set forth by various payers • Knowledge of various payer websites for follow-up • Thorough understanding of commercial payer eligibility, benefits, determining primary payer, and covered benefits • Understanding of billing policies for auto and workers’ compensation and incarcerated patient payers • Compliance with state and federal regulations

🏖️ Benefits

• Full-time employment • First shift schedule (8:00 a.m.–4:30 p.m.)