Primary Location:

Nucleus Building - ULP - AMG

Address:

300 E. Market St.
Louisville, KY 40202


Shift:

First Shift (United States of America)

Job Description Summary:

Job Description:

WE ARE HIRING!

Location:300 E. Market St., Louisville, KY 40202

About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. 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. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

Position Summary and Purpose

Medical insurance verification of patient accounts to determine eligibility, benefits and co-pays due and ability to analyze patient accounts for outstanding balances as well. Pre work GECB hold bill alerts and update visit insurance. Must be detail oriented and possess strong communication and interpersonal skills with the ability to multi-task.

Essential Functions:

• Verify patient eligibility six days out from appointment

• Determine patient’s benefits including deductibles, co-insurance and co-pay amounts

• Verify if authorizations are required and obtain, if necessary

• Verify benefits 

• Call patients prior to appointment if there is a problem with patient’s insurance

• Working with patients to pay balances on account or create payment plan for balances due

• Work hold bill and marked event alerts

• Determine what is needed for the upcoming visit ex; consent, arrival form, ID, insurance card, picture, etc.

• Work visit insurance and arrange FSC accordingly

• Other duties as assigned.

Other Functions:

• 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 Equivalent required.

Experience:

• At least five years of insurance experience, preferred

• Understand insurance policies and processes

• Ability to utilize insurance websites proficiently

• Ability to communicate effectively

• Ability to anticipate and adapt to change positively

• Must possess solid customer service skills

• Strong investigative and problem solving skills

• Extensive knowledge of Centricity

Job Competency:

Knowledge, Skills, and Abilities critical to this role:

·       The right candidates for this position must be dependable, professional and a team player.

Language Ability:

• Takes initiative and willingness to help out

• Proactive-anticipates and plans for problems before they arise

•  Service Excellence – responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate information

• Organized – manages time effectively, keeps tasks appropriately prioritized

• Flexible-ability to change direction as needed for the good of the Department

• Critical thinking skills-ability to think through issues and identify appropriate options

• Strong work ethic-motivated, diligent and persistent, stays on tasks to completion, works at a fast pace to ensure optimal efficiency

• Maintains a professional appearance at all times

• Interpersonal – can build effective, strong working relationships with employees, colleagues, management, consultants, and media through trust, communication, and credibility

• Team – ability to work with others, serve others, help others, lead others, mentor others, take directions from others in the interest of moving process and programs forward to the desired outcome

• Emotional Intelligence – ability to not take issues personal, see the big picture in emotionally charged situations and respond in a mature, professional, composed manner

• Self-Awareness – ability to reflect, understand limitations, and seek appropriate assistance and guidance

• Judgment – exercises discretion and due diligence when making decisions and recommendations

• Quality – is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism

 

Reasoning Ability: 

• Able to critically think through complex patient situations, process improvements, evidence-based practice.

• Able to assist others in developing clinical reasoning skills.

Computer Skills:

• What computer skills are required for this job?  What computer skills are preferred?

• Are there any specialized programs that the candidate must be able to use?

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