Accounts Receivable Specialist II
Company: St. Luke's University Health Network
Posted on: May 3, 2021
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
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
- Verifies accuracy of billing data and makes revisions as need
- Identifies and reports any claim submission issue trends to
- Uses insurance websites for claim status, appeals and
- Obtains and maintains a basic understanding of third party
billing requirements as assigned, including federal, state and
- Responsible for accounts receivable and investigates and
reviews number of claims set by productivity standards for the
- Staff member productivity and accuracy is monitored on a
- 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. Lukes
- 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
- 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
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 physicians 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
andcurrent home address. Be sure toincludeemployment history forthe
past seven (7) years, including your present employer.
Additionally, you areencouraged to upload a current resume,
including all work history, education, and/or certifications
andlicenses, 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!!
Keywords: St. Luke's University Health Network, Allentown , Accounts Receivable Specialist II, Other , Allentown, Pennsylvania
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