Physician Biller

Lehigh Valley Health Network, Inc.; East Stroudsburg (Monroe County); On-site; USD 42,000 - 54,000; Full time

Job summary

Lehigh Valley Health Network, Inc. is seeking a billing specialist to update patient information and resolve billing issues. You will work with patients, families and insurers to address inquiries, process coding corrections, and monitor claim denials.

The role emphasizes accuracy, timely communication, and collaboration with multiple departments to ensure clean claims and smooth payment flows.

Qualifications

• High School Diploma or GED required.
• 1 year of billing or health insurance experience in a physician’s practice or equivalent operations.
• Less than 1 year of prior administrative experience.
• Excellent problem solving and communication skills.
• Knowledge of the revenue cycle process.

Responsibilities

• Assists patients, families and insurance carriers with billing inquiries.
• Processes coding corrections and late charges.
• Identifies inefficient claim edits and develops necessary and new claim edits.
• Reviews and resolves claims with missing information.
• Handles edits for self-pay registrations to verify Medicaid status.
• Follows up on denials and underpaid claims using reports.
• Reviews claims in pre-bill status and coordinates with departments to resolve edits.
• Documents billing activity on patient encounters per standards.

Skills

Billing experience

Revenue cycle knowledge

Communication skills

Customer service orientation

Problem solving

Education

High School Diploma/GED

Associate’s Degree

Job description

Imagine a career at one of the nation’s most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the “Best Hospitals” by U.S. News & World Report for 23 consecutive years. We’re a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center’s prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an ‘A’ grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN’s commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you’re considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary
Updates patient information which usually consists of health care status, and health insurance. Works with the coding and credentialing departments to resolve issues or edits in an effort to avoid any delays in sending claims.

Job Duties

• Assists patients, families and insurance carriers with billing inquiries.
• Processes coding corrections and late charges.
• Works closely to identify inefficient claim edits and develops necessary and new claim edits.
• Reviews and resolves claims with missing information accounts (unchecked).
• Handles edits for patients registered as self-pay to ensure that there is not active Medicaid coverage.
• Follows up on denials and incorrectly paid claims, utilizing reports on daily, weekly and monthly basis.
• Reviews claims in pre-bill status for accuracy and coordinates with ancillary departments, as needed, to resolve claim edits.
• Documents billing activity on patient encounter according to departmental standards and guidelines.

Minimum Qualifications

• High School Diploma/GED
• 1 year 1 year of experience in billing, or health insurance, within a physician’s practice, or equivalent operations environment and
• Less than 1 year prior administrative experience.
• Excellent problem solving skills.
• Knowledge and thorough understanding of the revenue cycle process.
• Well developed oral/written communication skills.
• Strong orientation to patient/customer satisfaction.

Preferred Qualifications

• Associate’s Degree

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

https://youtu.be/GD67a9hIXUY

Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:

Day Shift

Address:

511 VNA Rd

Primary Location:

East Stroudsburg - 511 VNA Road

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

M-F occasional Saturday 8hrs

Department:

1012-35410 LVPG-P Monroe Endoscopy Center at 511 VNA Rd