Primary Location: Work from Home - KY Address: P.O. Box 909 Louisville, KY 40201-0909 Shift: First Shift (United States of America) Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Job Description: Overview This position requires thorough knowledge of the Uniformed Bill, timely filing limits set forth by various payers, and various payer websites for follow up. Performs all duties related to timely and efficient billing and follow-up. Thorough understanding of commercial payer eligibility, benefits, determining primary payer, and covered benefits. Understanding of billing policies for auto and worker’ compensation as well as incarcerated patient payers. Responsibilities • 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. Additional Job Description: Qualifications MINIMUM EDUCATION & EXPERIENCE • High School Diploma, or GED • 1 year of patient registration, billing or equivalent experience • Working knowledge of medical and insurance terms is desirable. KNOWLEDGE, SKILLS, & ABILITIES • 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.

Inspire health. Serve with compassion. Be the difference. Job Summary Understands the overall organizational goals for timely and appropriate resolution of accounts. Works in accordance with Patient Friendly standards consistent with policies and procedures ensuring complete, accurate, and compliant processes resulting in optimal collection and customer service performance for the organization. This includes the collection of deductibles, co-pays and co-insurances as well as payment towards accounts classified as self-pay. In depth deomgraphic and financial assessments are performed, generally at the bedside, and analyzed to determine an appropriate payor source. Follow up form the assessment may include the need to assist the patient and contact outside agencies such as Vocational Rehabilitation, Department of Health and Human Services, Social Security Administration and others. The position works collaboratively with Social Work and Outcomes Management to support their initiatives with ensuring the most appropriate continuum of care for the patient. This position is 100% REMOTE Accountabilities - Interviews patient and/or patient's representative (in accordance with HIPPA Guidelines) to obtain complete and accurate demographic and financial information. Possesses and demonstrates knowledge of computer systems and financial counseling processes allowing the ability to follow through with all assigned accounts timely and accurately to the satisfaction of the internal and external customer. Exercises judgement in analyzing the information collected and following through to ensure the patient receives every consideration for financial assistance. Ensures elimination of all possible payor sources prior to consideration of hospital sponsorship. Communicates patient's estimated financial responsibility and requests payment prior to or at the time of service; appropriateley explaining insurance terms to the patient. Receives payments and issues receipts in accordance with departmental cash handling procedures. Continually excels at the performance benchmark standards. - Monitors high dollar accounts that represent significant exposure to ensure complete and accurate financial and demographic information necessary for timely submission and reimbursement of the account. Initiates authorization and insurance verification processes as necessary and communicates changes to those departments who need to be made aware. - Coordinates and delegates referrals to the Department of Health and Human Services for an application to be completed. Monitors to ensure applications are secured in a timely manner. - Demonstrates superior interpersonal relationship skills necessary for developing and maintaining positive professional relationships with patients, peers, clinical departments, payor organizations, and industry organizations. - Maintains superior revenue cycle knowledge through an ongoing review of governmental, managed care and other third party payor regulations and guidelines. Explores any possible payor source options such as Cobra, Liability, Worker's Compensation or other Governmental Agencies. Participates in appropriate departmental training and career developmental opportunities. - Contacts Social Security Administration and makes appointments for patients as needed. As needed, assists the patient with the interview process and completing required forms. Facilitates the disability determination process by working with the clinical staff and disability examiner to gather information needed for a disability determination to be made. Exercises superior judgement in coordinating referrals to the appropriate outsource vendor for cases which may require additional follow up once the patient is discharged from the hospital. - Completes special projects related to the revenue cycle as assigned. Including but not limited to participation with the complex patient review team, coordinating processes with Communicare and assisting with financial counseling functions at other facilities. Exercises superior judgement in the elevation and determination of issues to be escallated to the appropriate management (internal/external). Supervisory/Management Responsibilities - This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements - High School diploma or equivalent OR Post High School Diploma - 3 years - Health Care Revenue Cycle Experience (such as Billing, Collections, and/or Customer Service) In Lieu Of The Minimum Requirements Listed Above - Bachelor's degree and 3 years experience in a service industry may be substituted for the above education/experience requirements. Work Shift Day (United States of America) Location Richland Facility 7001 Corporate Department 70019054 Financial Counseling Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

• Manage end-to-end provider contracting and credentialing processes • Prepare, submit, and track credentialing applications with payers • Maintain accurate and up-to-date provider records and documentation • Monitor credentialing timelines and proactively follow up with payers • Support re-credentialing and ongoing compliance requirements • Assist with billing setup for newly credentialed providers • Support claim submission, tracking, and follow-up as needed • Identify and help resolve basic billing issues or discrepancies • Coordinate with internal teams to ensure accurate provider data • Maintain organized documentation in internal systems • Ensure compliance with payer, state, and organizational requirements • Communicate effectively with internal teams and external partners

• Communicate daily with project managers across multiple office locations • Prepare, review, and process high-volume, complex invoices independently • Ensure compliance with client invoicing requirements and company policies • Submit invoices through various client invoicing portals • Manage multiple billing assignments with shifting priorities and deadlines • Analyze and verify cost data for billing accuracy • Create and maintain billing schedules based on contract terms • Perform account reconciliations and resolve discrepancies • Support internal and external audits with documentation and explanations • Organize and maintain billing files and related communications