Accounts Receivable Specialist- Physician Billing

St. Luke's University Health Network • Allentown, PA • 4h ago

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable for either St. Luke's Hospital services and/or the professional-fee billing for physician and advanced practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network policy.

JOB DUTIES AND RESPONSIBILITIES:

Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

Performs duties as scheduled, prioritizing as required to ensure claims are submitted timely, and maximize cash flow is received.

Verifies accuracy of billing data and makes revisions as need be.

Identifies and reports any claim submission issue trends to Management team.

Obtains and maintains a basic understanding of third party billing requirements as assigned, including federal, state and commercial payers.

Responsible for account receivable, investigates and reviews claims based on the productivity standards set by management.

Analyze daily aging of insurance accounts via the billing system to determine appropriate follow up for non- payment and delayed payment accounts, as well as to ensure compliance with all Federal, state, insurance payer and St. Luke's Network policies.

Analyzes denied claims and investigates the reasons causing the denial and takes the necessary action to resolve the denial and/or resolution of the account.

Seeks resolution to problematic accounts and payment discrepancies with optimal goal of receiving accurate payments and maximum reimbursement.

Statuses claims resolution, appeals and corrected claims via payer websites when possible.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting up to 8 hours per day, 4 hours at a time. Continuously fingering and handling for data entry, typing, etc... and occasional twisting and turning. Uses upper extremities for occasional lifting and carrying up to 10 lbs. Frequently stoops, bends, or reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation and telephone. Seeing as it relates to general vision. Visual monotony when reading reports and reviewing computer screens.

EDUCATION:

High School Diploma or equivalent. Medical Billing/Coding Program certificate preferred. Must be able to speak, read and write English. Must possess strong verbal and written communication skills.

TRAINING AND EXPERIENCE:

Experience with third party billing in a hospital similar medical facility or physician's office is preferred. Direct experience is required with Microsoft Office Suite and web navigation and /or web based applications.

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer. (http://www.slhn.org/EOE)

Similar Jobs

Account Executive, Respiratory Health - Central Pennsylvania

Hill-Rom • Allentown, PA • 4h ago

Hospital & Medical

Reference #: JR - 181168 This is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll fee...

4h ago

Go to Apply

Nurse

BARC Developmental Services • Quakertown, PA • 14h ago

Hospital & Medical

No Weekends, 8 hr shift Mon-Fri, Paid Holidays, with $1500.00 sign-on Bonus Great opportunity for Caring LPN or RN to join our Quakertown nursing team, and start a career with our agency. Work weekdays, Monday to Friday...

14h ago

Go to Apply

Overnight Nurse - RN

BAYADA Home Health Care • Quakertown, PA • 14h ago

Hospital & Medical

Come for the Flexibility, Stay for the Culture ( https://www.bayada.com/the-bayada-way.asp ) Needing more 'life' in your work-life balance? Apply to our talent network today! BAYADA is currently seeking overnight shift n...

14h ago

Go to Apply

Medical Assistant, OBGYN

St. Luke's University Health Network • Allentown, PA • 2d ago

Hospital & Medical

2d ago

Go to Apply

Telehealth Medical Assistant

Actalent • Allentown, PA • 2d ago

Hospital & Medical

Job Title: Telehealth Medical Assistant (certified) This is a contract role through 10/3/2025 right now, with strong potential to be extended to EOY. REMOTE ROLE - anywhere in United States; but must be able to work east...

2d ago

Go to Apply

Physical Therapist

Grane Home Hospice Care, Inc • Allentown, PA • 4d ago

Hospital & Medical

Requisition: 2025-172325 Physical Therapist Job Locations US-PA-ALLENTOWN ID 2025-172325 Line of Business Rehab Without Walls Neuro Rehabilitation Position Type PRN Pay Min USD $55.00/Hr. Pay Max USD $60.00/Hr. Our Compa...

4d ago

Go to Apply

Physical Therapist

BrightSpring Health Services • Allentown, PA • 5d ago

Hospital & Medical

Our Company Rehab Without Walls Neuro Rehabilitation Overview Our team is EXPANDING and we're looking for talented Physical Therapists to join our Home and Community program. We're hiring for the county of Lehigh. Make a...

5d ago

Go to Apply

Registered Nurse, RN

Genesis Healthcare • Bethlehem, PA • 1w ago

Hospital & Medical

Overview At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fost...

1w ago

Go to Apply

Hospice Volunteer (Unpaid)

BAYADA Home Health Care • Allentown, PA • 1w ago

Hospital & Medical

This is an unpaid position. BAYADA Hospice is looking for Volunteers! BAYADA Hospice is currently seeking candidates for our Volunteer, Hospice position to be a part of our team located in Boyertown, PA . This office ser...

1w ago

Go to Apply

New Graduate Nurse (LPN or RN)

BAYADA Home Health Care • Allentown, PA • 1w ago

Hospital & Medical

Come for the Flexibility, Stay for the Culture ( https://www.bayada.com/the-bayada-way.asp ) The Nurse Residency Program is an exclusive opportunity for nursing graduates with a scheduled or passed NCLEX in the United St...

1w ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.