Accounts Receivable Specialist- Professional Radiology Billing

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

1d • Hybrid

About The Position

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.

Requirements

• High School Diploma or equivalent.
• Must be able to speak, read and write English.
• Must possess strong verbal and written communication skills.
• 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.

Nice To Haves

• Medical Billing/Coding Program certificate preferred.
• Professional Radiology Billing experience highly preferred

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.
• Status claims resolution, appeals and corrected claims via payer websites when possible.

Benefits

• St. Luke's is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row.
• For the third straight year, St. Luke’s has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award.
• In 2025, St. Luke’s was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024.
• In 2025, St. Luke’s was named a Top Workplace in New Jersey for the third year in a row.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED