Physician Biller

SchuylkillEast Stroudsburg, PA
Onsite

About The Position

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Updates patient information which usually consists of health care status, and health insurance. Works with the coding and credentialing departments to resolve issues or edits in an effort to avoid any delays in sending claims.

Requirements

  • High School Diploma/GED
  • 1 year of experience in billing, or health insurance, within a physician's practice, or equivalent operations environment
  • Less than 1 year prior administrative experience.
  • Excellent problem solving skills.
  • Knowledge and thorough understanding of the revenue cycle process.
  • Well developed oral/written communication skills.
  • Strong orientation to patient/customer satisfaction.

Nice To Haves

  • Associate’s Degree

Responsibilities

  • Assists patients, families and insurance carriers with billing inquiries.
  • Processes coding corrections and late charges.
  • Works closely to identify inefficient claim edits and develops necessary and new claim edits.
  • Reviews and resolves claims with missing information accounts (unchecked).
  • Handles edits for patients registered as self-pay to ensure that there is not active Medicaid coverage.
  • Follows up on denials and incorrectly paid claims, utilizing reports on daily, weekly and monthly basis.
  • Reviews claims in pre-bill status for accuracy and coordinates with ancillary departments, as needed, to resolve claim edits.
  • Documents billing activity on patient encounter according to departmental standards and guidelines.
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