Accounts Receivable Specialist-II, St. Luke's Center (full time, day shift)
Company: St. Luke's University Health Network
Location: Allentown
Posted on: January 13, 2021
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Job Description:
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 II is responsible for the day to day operations of
accounts receivable for the facilities and practices including
billing, account resolution, credits workflow and processes. The
Accounts Receivable Specialist II is focused on the accurate and
timely submission of claims to third party payers, intermediaries,
and guarantors in accordance with network policy. Proactively
reviews accounts with insurance payers to ensure prompt and maximum
reimbursement. 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 Coordinator/Management team.* Uses insurance
websites for claim status, appeals and corrections.* Obtains and
maintains a basic understanding of third party billing requirements
as assigned, including federal, state and commercial payers.*
Responsible for accounts receivable and investigates and reviews
number of claims set by productivity standards for the team.* Staff
member productivity and accuracy is monitored on a regular basis.*
Analyzes daily aging of high balance 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.* Refers
accounts back to billing staff for any claims that need to be
re-billed.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. Must be able to speak, read and write
English. Strong verbal and writing skills.TRAINING AND EXPERIENCE:
Experience with third party billing in a hospital similar medical
facility or physician's office is preferred. Must have one to two
years' experience at AR Specialist Level within the network or
comparable work environment. 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.
Keywords: St. Luke's University Health Network, Allentown , Accounts Receivable Specialist-II, St. Luke's Center (full time, day shift), Other , Allentown, Pennsylvania
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