Accounts Receivable Specialist (On Site)

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

1d•Onsite

About The Position

The Accounts Receivable Specialist I is responsible for billing and collecting accounts receivable for St. Luke’s Hospital services and/or professional-fee billing for physician and advanced practitioner services for the St. Luke’s Physician Group. The role ensures accurate and timely claim submission to third-party payers, intermediaries, and guarantors in accordance with network policy. This is a full-time, on-site position at St. Luke’s Center in Allentown, Pennsylvania. The schedule is 7:00 AM to 3:30 PM, with flexibility, for 40 hours per week. There are no weekends, nights, or holidays.

Requirements

High school diploma or equivalent.
Ability to speak, read, and write English.
Strong verbal and written communication skills.
Direct experience with Microsoft Office Suite and web navigation and/or web-based applications.
Ability to meet the stated physical and sensory requirements, including prolonged sitting, frequent data entry and handling, occasional lifting and carrying up to 10 pounds, frequent stooping, bending, or reaching above shoulder level, and use of hearing and vision for work tasks.

Nice To Haves

Medical Billing/Coding Program certificate.
Experience with third-party billing in a hospital, similar medical facility, or physician’s office.

Responsibilities

Process UB04 and HCFA-1500 claims through the related billing system and claims scrubber, completing associated tasks to ensure claim information is complete and accurate and to facilitate maximum reimbursement.
Prioritize scheduled work to ensure timely claim submission and maximize cash flow.
Verify billing data for accuracy and make revisions as needed.
Identify and report claim submission issue trends to the management team.
Obtain and maintain a basic understanding of assigned third-party billing requirements, including federal, state, and commercial payers.
Investigate and review accounts receivable claims according to management productivity standards.
Analyze daily insurance-account aging in the billing system to determine appropriate follow-up for unpaid or delayed-payment accounts and ensure compliance with applicable policies.
Analyze denied claims, investigate causes, and take necessary action to resolve denials or accounts.
Seek resolution of problematic accounts and payment discrepancies to obtain accurate payments and maximum reimbursement.
Check claim resolution statuses, appeals, and corrected claims through payer websites when possible.