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AR Commercial Follow Up Specialist
UofL Health. Monitor commercial and specialty payer accounts receivable inventory to ensure timely follow-up and claims resolution .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in monitoring accounts receivable, resolving claims, and understanding medical billing processes. Proficient in utilizing payer websites and adhering to compliance standards while maintaining productivity and quality.
Highest-signal resume keywords
Accounts Receivable ManagementMedical Billing KnowledgeEOB Review and AnalysisPayer Website NavigationCompliance with Regulations
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Accounts ReceivableMedical BillingEOB AnalysisContractual AdjustmentsTimely Filing LimitsInsurance TermsHCFA BillingElectronic FilingPayment PostingDenial Management
Soft Skills
Professional CommunicationProblem-SolvingAttention to DetailTime ManagementCollaboration
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Commercial PayerSpecialty PayerPatient ResponsibilityUniformed BillInsurance RequirementsBilling PoliciesAuto CompensationWorkers’ CompensationIncarcerated Patient PayersState and Federal Regulations
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Full-time employment
- First shift schedule (8:00 a.m.–4:30 p.m.)