Accounts Payable or Receivable Specialist
Company: St. Lukes
Location: Allentown
Posted on: August 5, 2022
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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 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.HOURS:Mon-Fri, no nights, holidays, or weekends.
Flexible start times between 7 AM- 9 AM. Hybrid remote work
available for local (PA or NJ) candidates after training and at
manager discretion.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. Lukes, Allentown , Accounts Payable or Receivable Specialist, Other , Allentown, Pennsylvania
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