Accounts Receivable Specialist (On Site)

St. Luke’s University Health Network; Sellersville (Bucks County); Sur place; USD 45 000 - 60 000; Plein temps

Résumé du poste

St. Luke's University Health Network is seeking a Billing Specialist to process UB04 and HCFA-1500 claims and manage related billing activities to maximize cash flow. You will verify data accuracy, follow up on denials, and ensure timely submission in a hospital setting.

The role requires attention to detail, proficiency with Microsoft Office, and prior third-party billing experience. This on-site position is based at Penn Foundation in Sellersville, PA, with standard Monday–Friday hours.

Qualifications

• High School Diploma or equivalent required.
• Medical Billing/Coding Program certificate preferred.
• Experience with third-party billing in a hospital or physician setting preferred.
• Proficiency with Microsoft Office Suite and web navigation required.

Responsabilités

• Process UB04 and HCFA-1500 claims in billing system to maximize cash flow.
• Verify accuracy of billing data and revise as needed.
• Investigate and follow up on denial trends and payment delays.
• Resolve denial reasons and correct claims via payer websites when possible.

Connaissances

Verbal communication

Written communication

Attention to detail

Data entry

Formation

High School Diploma or equivalent

Medical Billing/Coding Program certificate preferred

Outils

Microsoft Office Suite

Web navigation

Description du poste

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

HOURS: Full time, 40 hours/week. Mon-Fri, 7:30 AM - 4 :00 PM, fixed. No nights, holidays, or weekends. On site only at Penn Foundation in Sellesville, PA, no remote available at this time.

• what days of the week are required for this role? Monday-Friday
• what are the hours (times) that you require for this role? 7:30am- 4pm
• are the days/ hours fixed or is there flexibility? These hours are fixed
• if flexible, please provide what alternate hours are available:
• please provide the frequency of any weekend rotations: (do you need every other weekend, once a month, etc) NA
• if this is a float position, what other locations might be included? NA
• is there an opportunity to work remote or hybrid remote for this role? In the future, possibly Hybrid, but the goal is to be in the office
• is there anything else you’d like to share with me about this role? Not at the moment, other than this is in person at Penn Foundation Location in Sellersville, PA.

JOB DUTIES AND RESPONSIBILITIES

Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure claims are submitted timely, and maximize cash flow is received. Verifies accuracy of billing data and makes revisions as need be. Identifies and reports any claim submission issue trends to Management team. Obtains and maintains a basic understanding of third party billing requirements as assigned, including federal, state and commercial payers. Responsible for account receivable, investigates and reviews claims based on the productivity standards set by management. Analyze daily aging of insurance accounts via the billing system to determine appropriate follow up for non- payment and delayed payment accounts, as well as to ensure compliance with all Federal, state, insurance payer and St. Luke’s Network policies. Analyzes denied claims and investigates the reasons causing the denial and takes the necessary action to resolve the denial and/or resolution of the account. Seeks resolution to problematic accounts and payment discrepancies with optimal goal of receiving accurate payments and maximum reimbursement. Statuses claims resolution, appeals and corrected claims via payer websites when possible.

PHYSICAL AND SENSORY REQUIREMENTS

Sitting up to 8 hours per day, 4 hours at a time. Continuously fingering and handling for data entry, typing, etc… and occasional twisting and turning. Uses upper extremities for occasional lifting and carrying up to 10 lbs. Frequently stoops, bends, or reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation and telephone. Seeing as it relates to general vision. Visual monotony when reading reports and reviewing computer screens.

EDUCATION

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.

TRAINING AND EXPERIENCE

Experience with third party billing in a hospital similar medical facility or physician’s office is preferred. Direct experience is required with Microsoft Office Suite and web navigation and /or web-based applications.

St. Luke's University Health Network is an Equal Opportunity Employer. Founded in 1872, St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue in excess of $4 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally. St. Luke’s is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row. Also, for the third straight year, St. Luke’s has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award. In 2025, St. Luke’s was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024. Lastly, in 2025, St. Luke’s was named a Top Workplace in New Jersey for the third year in a row.