AllentownRecruiter Since 2001
the smart solution for Allentown jobs

Claim Editor and Billing Support Coordinator

Company: St. Luke's University Health Network
Location: Allentown
Posted on: April 9, 2021

Job Description:

Claim Editor and Billing Support Coordinator Allentown, PA - 1110 American Parkway 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 Claim Editor and Physician Billing Support Coordinator is responsible to maintaining the Claims Editor software; including the input of data to create rules for reviewing claims prior to submission to third party insurance companies involving coding and reimbursement guidelines. The Coordinator is also responsible for reviewing all procedure and provider constants entered into the physician practice management system, reviewing and editing charge encounter forms, resolving business office questions concerning coding issues, and reviewing third party rejections. The Coordinator is also responsible for conducting coding seminars for new practice and business office staff.JOB DUTIES AND RESPONSIBILITIES:

  • Maintain the Claims Editor software in order to produce clean claims for submission to third party payers in order to reduce rejections, decrease days in accounts receivable and maximize reimbursement.
  • Review and create rules by keeping abreast of coding and documentation requirements, analyzing third party regulations and publications, and reviewing third party payment rejections and inputting data into the Editor software.
  • Ensuring that edits are timely and accurately corrected by business office personnel.
  • Maintain knowledge of the interface with the physician practice management information system.
  • Prepare reports for feedback to users on edits and develop policies and procedures. Conduct site visits to discuss issues relating to edits.
  • Responsible for reviewing all new procedure codes for the physician practice management system. Maintain current procedure code constants. Assist with provider constants. Coordinate the development and maintenance of charge encounter forms, ABNs, and other forms used by business office and practice personnel relating to charge capture or insurance requirements.
  • Research and resolve business office personnel issues relating to coding, regulations and reimbursement.
  • Conduct monthly coding sessions with new business office and practice personnel.
  • Maintain files relating to job duties.PHYSICAL AND S E NSORY REQUIRE M ENTS:Sitting for up to eight hou r s per day, 3 hours at a ti m e. Standing and walking as necessary. Fingering a n d handling f r equently, twisting and turning of h ands occa s i o nally. Pushing and pulling. Occasionally stoops, bends, squat, kneel and reach above shoul d er le v el. Hearing as it relates to nor m al conversation. Seeing as it relates to general and near vision.EDUCAT I ON:CPC, CCA or CCS-P or COC required. RHIT m ay be considered when applicant possesses applicable physician coding and physi c ian billing experience.TRA I NING AND EX P E RIENCE:At least 5 years experience in physician procedural coding and physician billing/AR follow up. Must possess a working knowledge of ICD-9-CM, CPT and HCPCS coding. Knowledge and experience in dealing with third party insurance co m panies and regulations required. Knowledge and experience navigating the CMS website. For m er experience in training preferred. Microsoft W ord, Excel and P C knowledge required.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. Founded in 1872, St. Luke's University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 16,000 employees providing services at 12 hospitals and 300+ outpatient sites. With annual net revenue greater than $2 billion, the Network's service area includes 11 counties: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. Dedicated to advancing medical education, St. Luke's is the preeminent teaching hospital in central-eastern Pennsylvania. In partnership with Temple University, St. Luke's created the Lehigh Valley's first and only regional medical school campus. It also operates the nation's longest continuously operating School of Nursing, established in 1884, and 38 fully accredited graduate medical educational programs with 347 residents and fellows. St. Luke's is the only Lehigh Valley-based health care system to earn Medicare's five- and four-star ratings (the highest) for quality, efficiency and patient satisfaction. St. Luke's is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World's Best Hospital. U.S. News & World Report ranked St. Luke's #1 in the Lehigh Valley and #6 in the state. Two of IBM Watson Health's 100 Top Hospitals are St. Luke's hospitals. St. Luke's University Hospital has earned the 100 Top Major Teaching Hospital designation from IBM Watson Health eight times total and six years in a row. St. Luke's has also been cited by IBM Watson Health as a 50 Top Cardiovascular Program. Utilizing the Epic electronic medical record (EMR) system for both inpatient and outpatient services, the Network is a multi-year recipient of the Most Wired award recognizing the breadth of the SLUHN's information technology applications such as telehealth, online scheduling and online pricing information. St. Luke's is also recognized as one of the state's lowest cost providers.

Keywords: St. Luke's University Health Network, Allentown , Claim Editor and Billing Support Coordinator, Accounting, Auditing , Allentown, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Accounting, Auditing Jobs

RN / LVN/LPN / New York / Any / Licensed Practical Nurse (LPN) Job
Description: Our client, a beauty product manufacturer, is searching for a Staff Accountant to join their growing team in the Chattanooga, TN area You will be responsible for supporting the accounting and financial (more...)
Company: HumanEdge
Location: Dobbs Ferry
Posted on: 04/14/2021

Private Equity Fund Accountant
Description: A newly created position with a leading fund administrator for private equity that has been around over 20 years and
Company: Atlas Search
Location: Nutley
Posted on: 04/14/2021

Audit Manager
Description: Brookfield Asset Management br br Brookfield Asset Management is a global alternative asset manager with over 575 billion in assets under management. We have over a 100-year history of owning and (more...)
Company: Brookfield Asset Management
Location: New York
Posted on: 04/14/2021

Accountant - Entry Level
Description: Ref ID: 02910-0011765880Classification: Accountant - Entry LevelCompensation: 20.90 to 24.20 hourlyDo you enjoy working with Excel Accountemps has a great entry-level Accountant opportunity available (more...)
Company: Robert Half
Location: New York
Posted on: 04/14/2021

Financial Service Associate (Bilingual in Chinese)
Description: We are recognized as one of the top 5000 on Inc. Magazine's Annual List of America's Fastest-Growing Private Companies and one of the winners of USPAACC's Fast 100 Asian American Business Awards . (more...)
Company: Universal Processing
Location: New York
Posted on: 04/14/2021

Veterans Preferred - Senior Underwriter
Description: Military Veterans are Encouraged to Apply. Better is redefining homeownership and making it simpler, faster-and most importantly-more accessible for everyone. We leverage technology and expertise to find (more...)
Company: Better
Location: New York
Posted on: 04/14/2021

Medical Billing Specialist
Description: Ref ID: 02910-0011762241Classification: Medical Billing SpecialistCompensation: 15.84 to 18.34 hourlyAre you a self-starter pursuing a career in the Insurance - Health field as a Medical Billing Specialist (more...)
Company: Robert Half
Location: New York
Posted on: 04/14/2021

Veterans Preferred - Associate - Leveraged Finance Investment Banking, TD Securities
Description: Military Veterans are Encouraged to Apply. The Associate Leveraged Finance works with deal teams and prepares complex and merger and acquisitions financial models. The Associate is also responsible for (more...)
Company: TD Bank
Location: New York
Posted on: 04/14/2021

Senior Business Banker - Westchester County, NY
Description: NYC 299 Park Avenue 22957 , United States of America, New York, New YorkSenior Business Banker - Westchester County, NYDo you have a passion for providing stellar, personalized service to each and every (more...)
Company: Capital One
Location: New York
Posted on: 04/14/2021

Junior Accountant
Description: We are looking for a Junior Accountant to join our team You will be responsible for preparing and analyzing financial records for our company.A independent day school is growing at an unprecedented rate (more...)
Company: Confidential
Location: New York
Posted on: 04/14/2021

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Allentown RSS job feeds