AR Commercial Biller, 250 E Liberty, 8:00a-4:30p

UofL Health; Louisville (KY); On-site; USD 42,000 - 62,000; Full time

Job summary

UofL Health is seeking a Medical Billing Specialist to efficiently submit claims and manage accounts receivable. The role requires knowledge of the Uniform Bill and payer websites.

You will monitor DNFB, ensure electronic filing, and review EOBs to secure timely reimbursements. You will collaborate with denials teams and AR staff to resolve payment delays, maintain productivity, and document all billing activity accurately in the AR system.

Qualifications

• High school diploma or GED required.
• 1 year of patient registration, billing or equivalent experience required.
• Working knowledge of medical and insurance terms preferred.

Responsibilities

• Submit medical insurance claims to commercial, auto, and liability carriers.
• Monitor and resolve claims on the DNFB list.
• Ensure claims are filed electronically with limited paper filing.
• Review and understand EOBs/remittance advice and document activity in AR.
• Collaborate with denials team to address recurring denials and barriers to payment.
• Maintain productivity and meet deadlines.

Skills

Medical Billing

Insurance Claims

AR Review

DNFB Management

EOB Knowledge

Denials Collaboration

Billing Compliance

EHR/AR Systems

Education

High School Diploma or GED

Tools

Billing Scrubber

EHR System

Remittance Tools

Contractual Adjustments

Job description

Address

250 East Liberty St. Louisville, KY 40202

Address

250 East Liberty St. Louisville, KY 40202

Shift

First Shift (United States of America)

Job Description Summary

About UofL Health:

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.

With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description

Position Summary and Purpose

Efficiently submit medical insurance claims to commercial, auto and liability carriers. This position requires thorough knowledge of the Uniformed Bill and various payer websites.

Essential Functions

• Monitor and resolve claims holding on discharged not final billed (DNFB) list.
• Adhere to billing requirements and standards of compliance.
• Ensure all claims are filed electronically except for some paper claims.
• Process claims identified from insurance discovery.
• Ensure treatment authorization number is present, if applicable, in appropriate form locator field
• Thoroughly understand each of the condition, value, and occurrence codes for billing.
• Identify payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
• Responsible for reviewing and understanding explanation of benefits/remittance advice.
• Document all billing activity in a clear and concise manner into the AR system.
• Audit, research accounts, payment posting, contractuals to confirm the accuracy of the balance of the account.
• Evaluate late charges to determine if late charge claim will generate additional reimbursement.
• Ensure medical record requests are documented and submitted in a timely manner.
• Collaborate with denials team on difficult or reoccurring denials.
• Collaborate with AR Follow-up Specialist on difficult claims to identify barriers from the claim processing for payment.
• Complete tasks by deadline.
• Identify and report all trends that may provide insight into payment challenges.
• Proficient in billing scrubber system
• Work assigned accounts as directed while reaching daily productivity goals.
• Attend seminars as requested.
• Other duties as assigned.

Additional Job Description

Job Requirements

(Education, Experience, Licensure and Certification)

Education

• High School Diploma, GED (required)

Experience

• 1 year of patient registration, billing or equivalent experience (required)
• Working knowledge of medical and insurance terms (preferred)

Job Competency

Knowledge, Skills, and Abilities critical to this role:

• 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
• Ability to meet productivity expectations

Language Ability

• Ability to communicate verbally/in writing with professionalism

Computer Skills

• General computer knowledge, working with electronic filing

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