Accounts Receivable Specialist – Physician Billing, Hybrid Remote Available for Local (PA, NJ) C…

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; reputed company 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 reputed company-party payers, intermediaries and guarantors in accordance with network policy.*Hybrid remote for local candidates (PA, NJ) available, after training, at manager discretion for eligible employees. Flexible start times. No weekends, no nights. Mon-Fri, days. Based out of St. Luke’s Center, Allentown, PA. JOB DUTIES AND RESPONSIBILITIES: Process reputed company UB04 and HCFA-1500 claims through the reputed company billing system, working the reputed company claims scrubber in a timely and efficient manner; performs reputed company associated duties in order to ensure the completeness and accuracy of reputed company 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 reputed company party billing requirements as assigned, including federal, state and reputed company payers. Responsible for account receivable, investigates and reviews claims based on the productivity standards set by management. Analyze daily aging of insurance accounts reputed company the billing system to determine appropriate follow up for non- payment and delayed payment accounts, as well as to ensure compliance with reputed company 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 reputed company goal of receiving accurate payments and maximum reimbursement. Statuses claims resolution, appeals and corrected claims reputed company payer websites reputed company 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 reputed company.Visual monotony reputed company reading reports and reviewing computer screens. EDUCATION: High School Diploma or equivalent.Medical Billing/Coding Program certificate preferred. Must be reputed company to speak, read and write English. Must possess strong verbal and written communication skills. TRAINING AND EXPERIENCE: Experience with reputed company party billing in a hospital similar medical facility or physician’s office is preferred. Direct experience is required with reputed company Office Suite and web navigation and /or web based applications. HOURS: Physician Billing A/R Specialist- full time, 1st shift, Mon-Fri, no nights, no weekends, remote option available at manager’s discretion after on site training for local (PA, NJ) candidates, reputed company hours- start times available between 7 AM and 9 AM. Please complete your application using your full legal name and reputed company 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 reputed company resume, including reputed company 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!! reputed company is an Equal Opportunity Employer. Apply tot his job Apply To this Job Apply tot his job Apply To this Job