We are Hiring AR Denial Management and Appeals Specialist, 250 E Liberty, First Shift, Full Time, Potential for Remote at Med Plaza II - UMC! Primary Location: Med Plaza II - UMC Address 250 E Liberty Louisville, KY 40202 Shift Days 7A - 7P (United States of America) Job Description Summary Job Description: The job summary for this position is not currently on file electronically. Please see your supervisorr or Human Resources Representative for a hard copy before you complete your acknowledgment. Additional Job Description WE ARE HIRING! Location : 250 E. Liberty Street, Louisville, KY 40202 Shift: FT, First Shift About UofL Health UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. Affiliated with the University of Louisville School of Medicine, UofL Health is committed to providing patients with access to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. For more information on UofL Health, go to www.uoflhealth.org. Job Summary Initiates the appeal process, at the direction of Revenue Cycle management, until the case is overturned, appeal options are exhausted, or decision is made to discontinue process. This position assumes the responsibility for coordinating and appealing technical denials and working closely with the HIM Appeals Specialist responsible for clinical appeals. Ability to review and determine reason for insurance denial of claims Review and appeal unpaid claims daily and submit appeal timely. Develop appeal letters to substantiate overturning denial, i.e. coverage, authorization, non-covered services, contract issue, timely filing limit, etc. Develop and maintain detail denial inventory list Tracks and trends progress and outcomes of denial and appeal processes and compiles reports for Revenue Cycle leadership Completes follow-up work on appealed claims. Works with insurance carriers on appeal issues. Ensure clinical appeals are submitted to the HIM department Monitor the payments to assure reimbursement from third-party payers is accurate based on payer contract. Reviews denials for accuracy. Stays abreast of payer updates for authorizations, eligibility, etc and communicates to Revenue Cycle leadership Documents all activity in Revenue Cycle system. Attends continue education programs Other duties as assigned. Minimum Education & Experience High School education or GED required. 1-3 years of prior billing, collection, or appeals Knowledge, Skills, & Abilities Knowledge of medical terminology. Clear and concise written communication skills and development of professional letters. Basic Microsoft Office knowledge. Ability to foresee projects from start to finish. Show more Show less
Primary Location: Med Plaza II - UMC Address 250 E Liberty Louisville, KY 40202 Shift First Shift (United States of America) Job Description Summary Job Description: Perform accounting function for entities within the Division including general ledger accounting, current assets, liabilities, cost reporting, cash books, community benefit etc. Work through month end close activities and create journal entries for market activities. Point of contact for market finance and operations teams for assurance about accuracy and completeness of financials. reports to the Accounting Manager. Special projects as assigned Additional Job Description Completes monthly processing for assigned departments to ensure reports are complete and accurate. This includes organizing, monitoring and proposing improvement in these processes. Accumulates and prepares accounting data for entry into the general ledger. Completes analysis and prepares special reports on as needed basis. Responsible for knowledge regarding assigned departments financial information. Assists in compiling information for yearend audit and works with external auditors. Resource for basic financial information for senior and middle management. Complete analysis and other assignments relating to assigned departments, including recommendations for efficiency in processing information. Complete close including P&L analysis, reports for leadership, and closing Lawson modules General Ledger activities including: Suspense account clearance, Net asset roll forwards, JE postings, Feeder system edits, Prepaids, Balance sheet reconciliations, Coding review, Accrual review, Contractual reconciliation, Audit/Lawson setup, Cash books, Miscellaneous Accounts receivable, Community benefits, Cash activities, (e.g., reconciliation posting, etc.), Reconciliation activities (e.g. balance sheets, intercompany), Bank reconciliation, Run out entities, Cost Report prep (info gathering for reimbursement), Assessment tracking Education Bachelor’s Degree in Accounting. Experience 3-5 years experience in accounting preferably in a healthcare related industry. Show more Show less
You will be responsible for performing accounting functions for entities within the Division, including general ledger accounting, current assets, liabilities, cost reporting, cash books, and community benefit. Your role will involve working through month-end close activities, creating journal entries for market activities, and serving as the point of contact for market finance and operations teams to ensure accuracy and completeness of financials. You will report to the Accounting Manager and may be assigned special projects. Your key responsibilities will include completing monthly processing for assigned departments to ensure reports are accurate and proposing improvements in processes. You will gather and prepare accounting data for entry into the general ledger, conduct analysis, and prepare special reports as needed. Additionally, you will be responsible for having a thorough understanding of financial information related to assigned departments, assisting in compiling information for year-end audits, and collaborating with external auditors. You will also serve as a resource for basic financial information for senior and middle management, provide recommendations for efficiency in processing information, and complete various analyses and assignments related to assigned departments. Your tasks will also involve completing month-end close activities, including P&L analysis, generating reports for leadership, and closing Lawson modules. Specific activities related to General Ledger will include suspense account clearance, net asset roll forwards, journal entry postings, feeder system edits, prepaids, balance sheet reconciliations, coding review, accrual review, contractual reconciliation, audit/Lawson setup, cash books, miscellaneous accounts receivable, community benefits, cash activities, reconciliation activities (e.g., balance sheets, intercompany), bank reconciliation, run-out entities, cost report preparation, and assessment tracking. The ideal candidate for this position should hold a Bachelor's Degree in Accounting and possess 3-5 years of experience in accounting, preferably in a healthcare-related industry.,