Bilingual Legal Administrative Assistant
CoreBridge Solutions
Accounts Receivable Specialist, Physician Billing
St. Luke's University Health Network
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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.
- Accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network policy.
- Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner.
- Verify accuracy of billing data and make revisions as needed; identify and report claim submission issue trends to Management team.
- Investigate and review accounts receivable and claims based on productivity standards; analyze daily aging of insurance accounts to determine appropriate follow up for non-payment and delayed payment accounts.
- Analyze denied claims, investigate reasons for denial, take necessary action to resolve denials and/or resolve accounts; seek resolution to problematic accounts and payment discrepancies to receive accurate payments and maximum reimbursement.
- Status claims resolution, appeals and corrected claims via payer websites when possible.
Requirements
- High School Diploma or equivalent.
- Medical Billing/Coding Program certificate preferred.
- 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 required with Microsoft Office Suite and web navigation and/or web based applications.
- Experience processing UB04 and HCFA-1500 claims and working the related claims scrubber.
- Basic understanding of third party billing requirements including federal, state and commercial payers.
- Ability to analyze denied claims, investigate reasons for denial, and take corrective action.
- Physical and sensory abilities: sitting up to 8 hours per day; continuous fingering/handling for data entry; occasional lifting/carrying up to 10 lbs; frequent stooping, bending, reaching; normal hearing and vision; tolerance for visual monotony when reading reports and computer screens.
