Accounts Receivable Specialist- Hospital Billing

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

Registered Nurse

INDIAN CREEK FOUNDATION INC • Souderton, PA • 1h ago

Hospital & Medical

Job Summary The Registered Nurse maintains a current PA Nursing License as an RN and has experience working in acute care, long-term care, or with individuals with intellectual/developmental disabilities. In this role, y...

1h ago

Go to Apply

Accounts Receivable Specialist- Hospital Billing

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

Hospital & Medical

2h ago

Go to Apply

Accounts Receivable Specialist- Hospital Billing

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

Hospital & Medical

2h ago

Go to Apply

Physical Therapist - PRN

Select Medical • Harleysville, PA • 3h ago

Hospital & Medical

Overview Physical Therapist - Outpatient PRN Location: Harleysville, PA Schedule: PRN, weekdays (Mon-Fri) Compensation: $50-$60/hour based on your experience. We are seeking a PRN Physical Therapist to join our outpatien...

3h ago

Go to Apply

Assembly and Test Manufacturing Technician - 3rd shift

NOKIA OF AMERICA CORPORATION • Allentown, PA • 2d ago

Hospital & Medical

Reference #: 31062 As an Assembly/Test Technician on our dynamic third shift team (11 PM - 7 AM) at Nokia, you will play a crucial role in assembling and testing advanced opto--electronic products that power global netwo...

2d ago

Go to Apply

Medical Assistant, Nephrology

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

Hospital & Medical

4d ago

Go to Apply

MOHS Surgery Assistant, Dermatology

St. Luke's University Health Network • Easton, PA • 4d ago

Hospital & Medical

4d ago

Go to Apply

Clinical Assistant/ Medical Assistant, Dermatology

St. Luke's University Health Network • Allentown, PA • 5d ago

Hospital & Medical

5d ago

Go to Apply

Manufacturing Technician

Aerotek • Allentown, PA • 6d ago

Hospital & Medical

Manufacturing Technician Job Description The Manufacturing Technician sets up, operates, monitors, and troubleshoots silicone coating, converting, and packaging equipment in a cleanroom manufacturing environment. This ro...

6d ago

Go to Apply

Accounts Receivable Specialist- Physician Billing

St. Luke's University Health Network • Allentown, PA • 1w ago

Hospital & Medical

1w ago

Go to Apply

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