Third Party Receivables Biller
Lehigh Valley Health Network Allentown, PA
Security verification
Lehigh Valley Health Network Allentown, PA
3 months ago
See who Lehigh Valley Health Network has hired for this role
Lehigh Valley Health Network Allentown, PA
3 months ago
Security verification
Save job
Welcome back
Sign in to save Third Party Receivables Biller at Lehigh Valley Health Network.
- Report this job
Join a team that delivers excellence.Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.
Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.
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.
SummaryParticipates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate.
Job Duties
- Analyzes claim edits and conducts root cause analysis to resolve the edit, identifying opportunities for work flow process improvement and claim logic implementation to enhance the clean claim rate.
- Monitors claim rejections from insurance carriers, taking the corrective action necessary to resubmit the claim, escalating rejection trends to department leadership for the creation or modification of claim edits, claim rules, or for escalation to the provider rep.
- Maintains working knowledge of all regulatory claim form requirements, coding rules, LVHN protocols, as well as being proficient in all payer specific billing requirements.
- Participates in claim rebill projects to address updates to items such as payer contract modifications, CDM updates, correction to charge errors, and coding version changes.
- Maintains a positive and productive relationship with other LVHN Revenue Cycle Departments, instituting best practices to reinforce workflow standardization and optimize productivity.
- Processes late or corrected charges according to billing guidelines for payers, submitting late replacement claims, corrected claims, or processing late charge write-offs.
- Compiles documentation necessary for submission of paper claims: claim attachments, investigation of payer address, claim number; resolves eligibility situations, when necessary.
Minimum Qualifications
- High School Diploma/GED
- 2 years of professional or facility billing and/or collections for all major third party payers or work experience in healthcare related field.
- Knowledge of third party reimbursem*nt.
- Knowledge of insurance contracts and regulations.
- Must maintain high-level knowledge of claim submission requirements.
- Strong analytical, mathematical, and organizational skills.
- Experience working with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
- Successful completion of DOE and Revenue Cycle Education within 3 months of hire.
Preferred Qualifications
- Associate’s Degree Healthcare Administration, Finance or Business or
- CPAT - Certified Patient Accounting Technician - State of Pennsylvania
Physical DemandsLift 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 circ*mstances require.
Influenza vaccination and COVID-19 Vaccination is required for all colleagues unless medically contraindicated or due to a bona fide religious belief or practice. Applicants possessing a medical marijuana card will not be considered for safety sensitive positions.
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
Req ID: wd-JR105100
-
Seniority level
Entry level -
Employment type
Full-time -
Job function
Accounting/Auditing and Finance -
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Lehigh Valley Health Network by 2x
See who you know
Get notified about new Biller jobs in Allentown, PA.
Sign in to create job alert
Similar jobs
-
Third Party Receivables Biller
Third Party Receivables Biller
Lehigh Valley Health Network
-
Third Party Receivables Biller
Third Party Receivables Biller
Lehigh Valley Health Network
Allentown, PA
-
Third Party Receivables Biller
Third Party Receivables Biller
Lehigh Valley Health Network
Allentown, PA
-
Billing Specialist
Billing Specialist
Cogent Analytics
Schwenksville, PA $45,000.00 - $47,000.00
-
Third Party Receivables Biller
Third Party Receivables Biller
Lehigh Valley Health Network
Allentown, PA
-
Third Party Receivables Biller
Third Party Receivables Biller
Lehigh Valley Health Network
Allentown, PA
-
Third Party Receivables Biller
Third Party Receivables Biller
Lehigh Valley Health Network
Allentown, PA
-
Third Party Receivables Biller
Third Party Receivables Biller
Lehigh Valley Health Network
Allentown, PA
-
PT/OT Billing Specialist
PT/OT Billing Specialist
OAA Orthopaedic Specialists
Allentown, PA
People also viewed
-
Medical Biller & Poster
AMSURG
Allentown, PA
-
Medical Biller
Medical Biller
AMSURG
Allentown, PA
-
Medical Billing Specialist - Remote | WFH
Medical Billing Specialist - Remote | WFH
Get It Recruit - Healthcare
Allentown, PA
-
Medical Clinical Assistant Course Program Director
Medical Clinical Assistant Course Program Director
Ancora Education
Allentown, PA
Similar Searches
- Medical Biller jobs 6,523 open jobs
- Billing Clerk jobs 61,901 open jobs
- Billing Coordinator jobs 59,535 open jobs
- Expense Analyst jobs 89,796 open jobs
- Portfolio Associate jobs 39,238 open jobs
- Reimbursem*nt Specialist jobs 56,621 open jobs
- Patient Account Representative jobs 10,690 open jobs
- Credentialing Coordinator jobs 51,050 open jobs
- Revenue Cycle Manager jobs 9,149 open jobs
- Workers' Compensation Specialist jobs 55,430 open jobs
- Billing Specialist jobs 65,923 open jobs
- Director Revenue Cycle jobs 4,949 open jobs
- Surgical Technician jobs 69,107 open jobs
- Dental Specialist jobs 18,629 open jobs
- Coder jobs 6,594 open jobs
- Billing Supervisor jobs 8,466 open jobs
- Commercial Controller jobs 13,800 open jobs
- Regional Director of Operations jobs 3,665 open jobs
- Accounting Technician jobs 53,626 open jobs
- Director of Revenue Management jobs 11,513 open jobs
- Medical Coder jobs 55,780 open jobs
- Private Equity Associate jobs 4,705 open jobs
- Vice President Sales Operations jobs 4,287 open jobs
- Registration Coordinator jobs 61,581 open jobs
- Budget Analyst jobs 58,762 open jobs
Explore collaborative articles
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
Explore More