Accounts Receivable Specialist- Correspondence (On Site)
On-siteAllentown, Pennsylvania, United States
Job Summary
Process all UB04 and HCFA-1500 claims through the billing system, scrubbing data to ensure completeness and accuracy before submission to third-party payers. Verify billing data, analyze daily aging of insurance accounts, and investigate denied claims to resolve payment discrepancies and maximize reimbursement. Identify submission issue trends and seek resolution for problematic accounts while maintaining compliance with federal, state, and network policies. Submit claim statuses, appeals, and corrected claims via payer websites. Perform duties Mon-Fri from 7:30 AM to 4:00 PM or 8:00 AM to 4:30 PM on site at St. Luke's Center in Allentown, NJ.
Required Qualifications
- High School Diploma or equivalent
- Must be able to speak, read and write English
- Must possess strong verbal and written communication skills
- Direct experience with Microsoft Office Suite and web navigation and /or web based applications
- Experience with third party billing in a hospital similar medical facility or physician's office is preferred
- Must be able to lift 10 lbs
- Must be able to sit up to 8 hours per day
- Must be able to continuously finger and handle for data entry, typing, etc
- Must be able to occasionally twist and turn
- Must be able to use upper extremities for occasional lifting and carrying
- Must be able to frequently stoop, bend, or reach above shoulder level
- Must have hearing as it relates to normal conversation and telephone
- Must have seeing as it relates to general vision
- Must be available for on site work at St. Luke's Center, Allentown, NJ
- Must work Mon-Fri, no nights, holidays, or weekends
- Must work 7:30 AM - 4:00 PM or 8:00 AM - 4:30 PM
- Must work full time, 40 hours/week
- Must be able to process all UB04 and HCFA-1500 claims through the related billing system
- Must be able to work the related claims scrubber in a timely and efficient manner
- Must be able to ensure the completeness and accuracy of all claim information
- Must be able to facilitate maximum reimbursement
- Must be able to prioritize as required to ensure claims are submitted timely
- Must be able to maximize cash flow is received
- Must be able to verify accuracy of billing data and make revisions as need be
- Must be able to identify and report any claim submission issue trends to Management team
- Must be able to obtain and maintain a basic understanding of third party billing requirements as assigned
- Must be able to include employment history for the past seven (7) years in application
- Must be able to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable
Desired Qualifications
- Medical Billing/Coding Program certificate preferred
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