UofL Health · 2 weeks ago
AR Commercial Follow Up Specialist, 250 E. Liberty, Potential Remote
UofL Health is a fully integrated regional academic health system focused on delivering patient-centered care. The AR Commercial Follow Up Specialist is responsible for timely billing and follow-up on commercial payer accounts, ensuring compliance with regulations and resolving claims efficiently.
Health CareHospitalmHealthPrimary and Urgent CarePsychology
Responsibilities
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
Qualification
Required
High School Diploma, or GED
1 year of patient registration, billing or equivalent experience
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
Preferred
Working knowledge of medical and insurance terms is desirable
Company
UofL Health
UofL Health provides urgent and primary care services.
Funding
Current Stage
Late StageTotal Funding
$16MKey Investors
Health Resources and Services Administration
2023-10-09Grant· $16M
Leadership Team
Recent News
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