AR Commercial Follow Up Specialist

UofL Health

AR Commercial Follow Up Specialist ensuring timely billing and claims resolution in a healthcare setting. Collaborating with various teams to manage accounts and resolve claims efficiently.

Posted 7/30/2026full-timeRemote • Kentucky • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing accounts receivable for commercial and specialty payers, ensuring compliance with state and federal regulations while effectively communicating with patients and insurance agencies. Proficient in analyzing claims, resolving payment issues, and maintaining accurate documentation.

Highest-signal resume keywords

Accounts Receivable ManagementEOB Review and AnalysisClaims ResolutionCompliance with RegulationsCommunication with Payers

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Accounts ReceivableClaims Follow-UpEOB ProcessingContractual AdjustmentsMedical BillingInsurance KnowledgePayment PostingData AnalysisElectronic FilingHCFA Billing

Soft Skills

Professional CommunicationTime ManagementProblem-SolvingCollaborationAttention to Detail

Tools & Technologies

Insurance WebsitesAR SystemElectronic Filing Systems

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Payer AccountsPatient ResponsibilityDenials ManagementState RegulationsFederal 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 account for appeal on accounts where retroactive coverage has been obtained.
Identify payers being submitted on paper rather than electronically and communicate the opportunities to leadership.
Follow up on unpaid commercial and third-party payer claims in a timely manner.
High dollar accounts will have consistent follow up until the account has been resolved.
Responsible for reviewing and understanding explanation of benefits/remittance advice.
Ensure statements are generated for the patient responsibility amounts.
Utilize insurance websites to view and resolve claims.
Perform extensive account follow-up and provide analysis of problem accounts.
Document all follow up efforts in a clear and concise manner into the AR system.
Compliance with State and Federal Regulations.
Audit, research accounts, payment posting, contractuals to confirm the accuracy of the balance of the account.
Ensure medical record requests are documented and submitted in a timely manner.
Collaborate with denials team on difficult or reoccurring denials.
Complete tasks by deadline.
Identify and report all trends that may provide insight into payment challenges.
Phone contact with patient, physician office, attorney, etc for additional information to process the claim.
Attend seminars as requested.
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, discuss HCFA billing with Insurance or Government agencies.
Knowledge of general insurance requirements.
Experience working directly with EOBs and contractual adjustments.
General computer knowledge, working with electronic filing.
Ability to communicate verbally/in writing with professionalism.
Ability to meet productivity expectations.

Benefits

Comp & perks

Health insurance
Flexible working arrangements
Professional development opportunities