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4 weeks ago
The Accounts Receivable Specialist is a key member of the St. Luke's Hospital team, responsible for managing the day-to-day operations of accounts receivable. This includes billing, account resolution, credits workflow, and processes. The ideal candidate will have strong analytical and communication skills, with the ability to work effectively in a fast-paced environment.
Key Responsibilities- Process and submit claims to third-party payers, intermediaries, and guarantors in a timely and accurate manner.
- Proactively review accounts with insurance payers to ensure prompt and maximum reimbursement.
- Verify accuracy of billing data and make revisions as necessary.
- Identify and report any claim submission issue trends to the Coordinator/Management team.
- Use insurance websites for claim status, appeals, and corrections.
- Maintain a basic understanding of third-party billing requirements, including federal, state, and commercial payers.
- Responsible for accounts receivable and investigate and review claims to ensure compliance with all Federal, state, insurance payer, and St. Luke's Network policies.
- Analyze daily aging of high-balance insurance accounts to determine appropriate follow-up for non-payment and delayed payment accounts.
- Seek resolution to problematic accounts and payment discrepancies to ensure accurate payments and maximum reimbursement.
- High School Diploma or equivalent.
- Strong verbal and writing skills.
- Experience with third-party billing in a hospital or similar medical facility or physician's office is preferred.
- Must have two years of experience at the AR Specialist Level I within the network.
- Direct experience is required in Microsoft Office Suite and web navigation and/or web-based applications.
Monday-Friday, days, no nights, holidays, or weekends. Flexible start time after training. Remote/hybrid remote available after 6 months of training at manager discretion. Based at St. Luke's Center, Allentown, PA.
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