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UofL Health

UofL Health is a fully integrated academic health system focused on delivering patient-centered care.

Insurance Reimbursement Auditor

AuditorAuditorFull TimeRemoteSeniorTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Kentucky

Posted

141 days ago

Salary

Not specified

Seniority

Senior

High School3 yrs expEnglish

Job Description

• Review and follow up on paid insurance claims to determine if reimbursement is accurate • Provide detailed analysis of findings and payer trends • Review claim remittances to determine reimbursement rates • Identify opportunities with underpayment or contract language • Perform extensive review of high dollar accounts • Responsible for reviewing explanation of benefits from third-party payers • Process and review incoming correspondence from payers • Audit, research accounts, payment posting, and contractuals to confirm accuracy • Communicate payment discrepancies to payer specific representatives

Job Requirements

  • High School Diploma or GED
  • 2-3 years of billing, insurance follow-up or insurance payor experience
  • Experience performing account resolution with third-party payors is preferred
  • Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS
  • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook

Benefits

  • Health insurance
  • retirement plans
  • Paid time off
  • flexible work arrangements
  • professional development

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