Accounts Receivable Specialist

2 weeks ago


Allentown, Pennsylvania, United States St. Luke's Hospital Full time
Job Title: Accounts Receivable Specialist

St. Luke's Hospital is seeking a highly skilled and detail-oriented Accounts Receivable Specialist to join our team. As an Accounts Receivable Specialist, you will play a critical role in ensuring the timely and accurate submission of claims to third-party payers, intermediaries, and guarantors.

Key Responsibilities:
  • Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner.
  • Verify accuracy of billing data and make revisions as needed.
  • Identify and report any claim submission issue trends to Coordinator/Management team.
  • Use insurance websites for claim status, appeals, and corrections.
  • Obtain and maintain a basic understanding of third-party billing requirements as assigned, including federal, state, and commercial payers.
  • Analyze daily aging of high-balance insurance accounts, via the billing system, to determine appropriate follow-up for non-payment and delayed payment accounts.
  • Analyze denied claims and investigate the reasons causing the denial and take the necessary action to resolve the denial and/or resolution of the account.
Requirements:
  • High School Diploma or equivalent.
  • Must be able to speak, read, and write English.
  • 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 AR Specialist Level I within the network.
  • Direct experience is required in Microsoft Office Suite and web navigation and/or web-based applications.
Work Environment:

Mon-Fri, days, no nights, holidays, or weekends. Flexible start time after training. Remote/hybrid remote available after 6 months of training at manager's discretion. Based at St. Luke's Center, Allentown, PA.



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