Medical Billing Representative - Hospital Billing

St. Luke’s University Health Network; Allentown (Lehigh County); Hybrid; USD 52,000 - 76,000; Full time

Job summary

St. Luke's University Health Network is seeking a full-time Medical Billing Specialist to process UB04 and HCFA-1500 claims, ensuring accurate data, timely submissions, and maximum reimbursements. The role supports coordination with patients and payers and requires strong Microsoft Office skills and EPIC experience.

Hybrid remote option available after on-site training for local PA/NJ candidates. Candidates should have a High School Diploma or equivalent and a Medical Billing/Coding certificate.

Qualifications

• Experience with third party billing in hospital or physician settings.
• Must be able to read, write and communicate effectively in English.
• Proficient with Microsoft Office; EPIC experience a plus.

Responsibilities

• Process UB04 and HCFA-1500 claims to ensure timely reimbursement.
• Submit claims and manage accounts receivable per productivity standards.
• Verify accuracy of billing data and revise as needed.
• Report claim submission trends to management.
• Coordinate with patients, payers and COB/auto insurance information.
• Maintain confidentiality and multi-task in a fast-paced environment.

Skills

Medical billing

Data entry

Customer service

Microsoft Office

EPIC experience

Communication skills

Education

High School Diploma or equivalent

Medical Billing/Coding Program certificate

Tools

EPIC

Job description

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

HOURS: Full Time, Days, 40 hours/ week Mon-Fri, no nights, holidays, or weekends 7:30 AM - 4:00 PM, some flexibility Based at St. Luke's Center in Allentown PA. Hybrid remote opportunity available for local (PA, NJ) candidates, after 6 months on site training and at the manager's discretion.

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, performing all associated duties to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
• Perform duties as scheduled, prioritizing as required to ensure claims are submitted timely, and maximum cash flow is received.
• Verifies accuracy of billing data and makes revisions as needed.
• Identify and report any claim submission issue trends to Management team.
• Obtains and maintains an understanding of third-party billing requirements as assigned, including federal, state, and commercial payors.
• Responsible for accounts receivable, investigates and reviews claims based on the productivity standards set by management.
• Communicates and corresponds with patients/guarantors and third-party payers regarding Coordination of Benefits, Worker’s compensation, and Auto insurance No-fault information.

Physical and Sensory Requirements

• Sitting up to 8 hours per day, 4 hours at a time.
• Continuously handling paperwork 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 is preferred.
• Must be able to speak, read and write English.
• Strong organizational and computer skills is preferred.
• Must possess strong verbal and written communication skills.
• Additional educational degrees that relate to this position would be considered.

Training and Experience

• Experience with third party billing in a hospital similar medical facility or physician’s office is required.
• Direct experience is preferred.
• Proficient in Microsoft Office Suite.
• Web navigation and /or web-based applications.
• Clerical experience.
• Ability to multi-task in a fast-paced environment.
• Team Player.
• Demonstrate excellent customer service and communication skills, both written and verbal.
• Applicants must be a highly motivated professional with organizational and analytical skill set, able to maintain confidentiality and evaluate multiple sides of an issue.
• Applicants must possess a positive attitude.
• Able to take the lead on projects and work well with minimal supervision.
• EPIC computer system experience a plus.

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.

Thank you for your interest in St. Luke's!!