Accounts Receivable Specialist II

St. Luke's University Health Network - Allentown, PA

Full-time - Entry Level

Allentown, PA

Hospitals

About the position

The Accounts Receivable Specialist II at St. Luke's University Health Network is responsible for managing the day-to-day operations of accounts receivable, including billing, account resolution, and ensuring the accurate and timely submission of claims to third-party payers. This role focuses on maximizing reimbursement and resolving any issues related to claims submissions.

Responsibilities

• Process all UB04 and HCFA-1500 claims through the related billing system, ensuring completeness and accuracy for maximum reimbursement.
• Prioritize and submit claims timely to maximize cash flow.
• Verify accuracy of billing data and make necessary revisions.
• Identify and report claim submission issue trends to management.
• Utilize insurance websites for claim status, appeals, and corrections.
• Maintain understanding of third-party billing requirements for federal, state, and commercial payers.
• Investigate and review claims set by productivity standards for the team.
• Analyze daily aging of high balance insurance accounts for follow-up on non-payment and delayed payment accounts.
• Investigate denied claims and take necessary actions to resolve them.
• Refer accounts back to billing staff for re-billing as needed.

Requirements

• High School Diploma or equivalent.
• Experience with third-party billing in a hospital or similar medical facility is preferred.
• 1-2 years of experience at AR Specialist Level or comparable work environment.
• Strong verbal and writing skills in English.

Nice-to-haves

• Experience in a healthcare setting.
• Familiarity with billing systems and claims processing.

Benefits

• Health insurance coverage.
• Paid time off and holidays.
• Opportunities for professional development.