Medical Billing Representative - Hospital Billing

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

2d • Hybrid

About The Position

The Medical Billing Representative is responsible for the billing of the accounts receivable for St. Luke’s Health Network. Responsible for accurate and timely submission of claims to third-party payors, intermediaries, and guarantors in accordance with network policy.

Requirements

• Experience with third party billing in a hospital similar medical facility or physician’s office is required.
• Proficient in Microsoft Office Suite.
• Web navigation and /or web-based applications.
• Clerical experience.
• Ability to multi-task in a fast-paced environment.
• Team Player.
• Demonstrate excellent customer service and communication skills, both written and verbal.
• Applicants must be a highly motivated professional with organizational and analytical skill set, able to maintain confidentiality and evaluate multiple sides of an issue.
• Applicants must possess a positive attitude.
• Able to take the lead on projects and work well with minimal supervision.
• Must be able to speak, read and write English.

Nice To Haves

• Medical Billing/Coding Program certificate is preferred.
• Strong organizational and computer skills is preferred.
• Additional educational degrees that relate to this position would be considered.
• Direct experience is preferred.
• EPIC computer system experience a plus

Responsibilities

• Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner, performing all associated duties to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
• Perform duties as scheduled, prioritizing as required to ensure claims are submitted timely, and maximum cash flow is received.
• Verifies accuracy of billing data and makes revisions as needed.
• Identify and report any claim submission issue trends to Management team.
• Obtains and maintains an understanding of third-party billing requirements as assigned, including federal, state, and commercial payors.
• Responsible for accounts receivable, investigates and reviews claims based on the productivity standards set by management.
• Communicates and corresponds with patients/guarantors and third-party payers regarding Coordination of Benefits, Worker’s compensation, and Auto insurance No-fault information.

What This Job Offers

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