Insurance Reimbursement Auditor, 250 E. Liberty, 8:00a-4:30p

Job description

Primary Location: 250 E Liberty St Address: 250 East Liberty St. Louisville, KY 40202 Shift: First Shift (United States of America) Job Description Summary: Job Description: The Insurance Reimbursement Auditor is primarily responsible for the review on paid insurance claims (including $0.00 pay) and payor recoupments to successfully determine if reimbursement is accurate according to current contracted rates. This employee follows up with government, managed care, commercial, and third party payers on outstanding monies due for services rendered to a patient. This employee will provide “root cause” analysis and trend identification of revenue opportunities to ensure appropriate reimbursement for UofL Health facilities. Additional Job Description: - Perform thorough research of paid claims (including $0.00 pay) for appropriate follow up with payer. - Provide detailed analysis of findings and payer trends. - Review claim remittances to determine reimbursement rates and methodologies used by the payer when processing the claim. - Identify opportunities with underpayment or contract language that is determinant to reimbursement and report findings to leadership. - Perform extensive rev...