Accounts Receivable Specialist - Physician Billing (Remote Work possible after 6 months training!)
Company: Saint Luke's University Hospital - Bethlehem
Posted on: June 9, 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
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
- 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 two years
experience at AR Specialist Level I within the network. Direct
experience is required in Microsoft Office Suite and web navigation
and /or web based applications.
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: Saint Luke's University Hospital - Bethlehem, Allentown , Accounts Receivable Specialist - Physician Billing (Remote Work possible after 6 months training!), Other , Allentown, Pennsylvania
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