Primary Location:

Nucleus Building - UMC

Address:

300 E. Market St.
Louisville, KY 40202


Shift:

First Shift (United States of America)

Job Description Summary:

Job Description:

The Accounts Receivable Representative I is an entry-level role responsible for supporting the UofL Physicians Central Business Office (CBO) in a variety of financial, clerical, or administrative duties based on team assignment. These duties may include cash posting, no-response and demographic-related denial follow-up, medical records or missed documentation requests, entering secondary claim details on payor websites, and additional duties as determined by CBO management based on skills reflective of the role.

• Monitors and execute work within Work Queues
• Researches and brings resolution to assigned unpostables and payment batches

• Enters claim detail information into various payor websites and uploads medical records to required sites or databases to resolve denials

• Meets productivity and quality standards as set by management
• Works closely with others as a member of a team in a close office setting
• Maintains compliance with all company policies, procedures and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

Additional Job Description:

Job Requirements

(Education, Experience, Licensure and Certification)

Education:

• High school diploma or GED/equivalent (required)

Experience:

• One (1) year of related experience and or/training (preferred)

Job Competency:

Knowledge, Skills, and Abilities critical to this role:

• Must have the ability to concentrate for long periods of time
• Must have knowledge of insurance coverages and basic knowledge of medical billing processes and medical terminology
• Ability to demonstrate knowledge relative to Work Queues
• Knowledge of or ability to learn Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD-10) coding
• Ability to read, interpret and/or follow up on an explanation of benefits
• General knowledge of healthcare payors and government agencies
• Ability to take direction and work independently

Language Ability:

• Must be able to communicate effectively in both verbal and written formats in a professional setting

Reasoning Ability: 

• Able to critically think through the process of claims
• Able to determine next steps for claims resolution

Computer Skills:

• Strong keyboarding with data entry efficiency
• Proficient with data entry and multitasking in a Windows environment
• Experience with Microsoft Office software
• Knowledge of Epic Billing preferred

Additional Responsibilities:

• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
• Maintains confidentiality and protects sensitive data at all times
• Adheres to organizational and department specific safety standards and guidelines
• Works collaboratively and supports efforts of team members
• Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community

UofL Health Core Expectation:

At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:

• Honoring and caring for the dignity of all persons in mind, body, and spirit

• Ensuring the highest quality of care for those we serve
• Working together as a team to achieve our goals
• Improving continuously by listening, and asking for and responding to feedback
• Seeking new and better ways to meet the needs of those we serve
• Using our resources wisely
• Understanding how each of our roles contributes to the success of UofL Health