AR Commercial Follow Up Specialist

🔥 26 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟢 Junior

💰 Accounts Receivable

🚫👨‍🎓 No degree required

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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 account for appeal on accounts where retroactive coverage has been obtained. • Identify payers being submitted on paper rather than electronically and communicate the opportunities to leadership. • Follow up on unpaid commercial and third-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. • Perform extensive account follow-up and provide analysis of problem accounts. • Document all 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 all trends that may provide insight 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.

🎯 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, 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

• Health insurance • Flexible working arrangements • Professional development opportunities