UofL Health

Billing Specialist

• Reviewing clinical research patient accounts in comparison to protocols and records
• Ensuring charges for items and services related to the study are properly billed
• Working closely with registration team, coding manager, and billing department for claims processing

Research Billing Coordinator

Medical Billing and Coding

• Abstract and assign valid CPT, ICD-10, HCPCs, and modifiers
• Ensure appropriate reimbursement in accordance with guidelines
• Identify compliance concerns and education opportunities
• Work with limited oversight and direction on complex cases

Coder II – Radiation Oncology

Therapist

• Evaluates and implements competent therapy treatment and provides regular re-assessments for the purpose of treatment modification
• Communicates patient status (e.g., evaluation results, treatment plan, and goals)
• Consistently establishes and maintains effective working relations with patients and family members
• Demonstrates an understanding of the financial implications of treatment costs and resources on the department/facility
• Ensures that patient charges and corresponding clinical documentation are in compliance with regulatory standards
• Oversees rehab technicians, therapy assistants, and students consistent with discipline practice acts
• Actively participates in program development, performance improvement activities, and community events

Inpatient Physical Therapist, Acute Care, PRN

• Abstract and assign valid CPT, ICD-9/10, and HCPCS codes
• Identify compliance concerns, trends, and educational opportunities
• Work independently with limited oversight
• Communicate professionally with providers and practice management
• Meet or exceed organizational coding production and quality standards

Coder II, OB/GYN

Accounts Receivable

• Supervise hospital claims billing and follow up to maintain unbilled and accounts receivable inventory within KPI metrics and industry standards.
• Educate and train staff on proper workflows, policies, and standards.
• Researches payer billing requirements and provides guidance to resolve outstanding accounts receivable balances.
• Keeps up to date with payer claims processing requirements and government regulations.
• Focuses on high dollar receivable accounts and adjust staffing as necessary.
• Assists in the development of standards and policies pertaining to hospital claims billing and follow up.
• Monitors and resolves claims holding on discharged not final billed (DNFB) list.
• Identifies payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
• High dollar accounts will have consistent follow up until the account has been resolved.
• Responsible for reviewing and understanding explanation of benefits/remittance advice.
• Performs extensive account follow-up reviews and provide analysis of problem accounts

Accounts Receivable Supervisor

Payroll

• Responsible for providing overall day to day guidance related to employee pay including Time and Attendance, Payroll, tax and Pay Statements
• Work collaboratively with the members of the Finance, I/S and human resource team
• Accountable for providing support to the Payroll Specialists
• Manage the timely and accurate processing of payroll, tax and related payroll data
• Serve as an internal payroll liaison for the payroll systems and the HRIS team
• Develop and recommend policy and procedural changes to payroll functions
• Provide a high level of customer service to ensure that employees and managers receive accurate, timely and appropriate information regarding payroll
• Maintain employee payroll records and documents
• Provide reports for payroll, time and attendance, employee statistics, benefits and retirement plan contributions and employer match
• Stay up to date on federal, state, and local payroll and tax laws, policies, and procedures",

Senior Payroll Specialist

• Responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers
• Accurately abstracts information from service documentation
• Assigns and sequences appropriate CPT, ICD-10, and HCPCs codes into billing systems
• Reviews and resolves coding denials
• Completes documentation meeting current EM Guidelines for providers