Insurance Denials & Underpayments Specialist

Lehigh Valley Hospital, Inc.; Allentown, Northern (Lehigh County, KY); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Lehigh Valley Health Network (LVHN) seeks an experienced Billing/Accounts Receivable professional to review open balances and resolve underpayments. The role requires analyzing denials, applying contract terms, and escalating issues to leadership as needed.

The candidate should have solid knowledge of payer policies, excellent communication, and proficiency with Excel, Word and PowerPoint. DOE Revenue Cycle training within 3 months is preferred.

Qualifications

• High School Diploma or GED required.
• 2+ years of professional or facility billing/collections experience for major payers.
• Excellent follow-up and verification skills.
• Strong knowledge of insurance contracts and regulations.
• Proficiency with Excel, Word, and PowerPoint.

Responsibilities

• Review and manage open Accounts Receivable and document follow-up actions.
• Analyze denials and underpayments to determine root causes.
• Prepare reports for meetings with provider representatives and senior leadership.
• Submit adjustments and refunds with proper codes and documentation.
• Identify patient out-of-pocket costs for non-covered services and coordinate with patients.
• Ensure compliance with organizational policies and departmental goals.
• Respond to emails and mail from patients and insurers within 24–48 hours.

Skills

Billing & collections

Analytical skills

Verbal & written communication

DOE Revenue Cycle training

Education

High School Diploma/GED

Associate’s Degree (preferred)

Tools

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Lehigh Valley Health Network (LVHN) seeks an experienced Billing/Accounts Receivable professional to review open balances and resolve underpayments. The role requires analyzing denials, applying contract terms, and escalating issues to leadership as needed.

The candidate should have solid knowledge of payer policies, excellent communication, and proficiency with Excel, Word and PowerPoint. DOE Revenue Cycle training within 3 months is preferred.