Accounts Receivable Rep

Summary

Lehigh Valley Health Network is hiring an Accounts Receivable Representative for its billing department. The role coordinates patient, client, and insurance billing, processes payments, investigates claims and denials, and communicates with providers, patients, and payors to ensure accurate reimbursement.

Responsibilities

• Maintains detailed knowledge of billing requirements and rules for third party payors
• Assures all financial and demographic information is correct and complete
• Assures that all allowances, discounts, co-payments are applied properly
• Processes insurance payments to patient accounts in computerized system
• Obtain prior authorization and perform patient benefit investigations
• Contact accounts, physician, or patient to obtain any missing information needed to accomplish accurate billing records
• Accepts additional responsibilities during staffing shortages
• Re-bills insurance companies or other third parties to secure payment for patients
• Assists with the training of appropriate personnel on computerized billing system
• Maintains knowledge of and adheres to the department’s Standard Operating Procedures (SOP’s)
• Responds to patient/client billing and statement inquires through phone or mail correspondence
• Obtains and mails invoice copies for customers, as requested
• Researches and processes customer claims of invoice payment
• Answers accounts receivable phone inquiries and follows up with patient/client
• Identifies overpayment by insurance companies or patients and issues refund request forms to Supervisor
• Investigates insurance denials as necessary for maximum reimbursement

Skills

• High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience
• Ability to read and comprehend simple instructions, short correspondence and memos
• Ability to write simple correspondence
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals
• Ability to compute rate, ratio and percent and to draw and interpret bar graphs
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
• Ability to deal with problems involving several concrete variables in standardized situations
• Basic computer skills (windows, medical record software, MS Office, etc.) with proficient data entry skills of 40-50 wpm, in addition to basic knowledge of standard office equipment

Qualifications

Must Haves

• High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience
• Ability to read and comprehend simple instructions, short correspondence and memos
• Ability to write simple correspondence
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals
• Ability to compute rate, ratio and percent and to draw and interpret bar graphs
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
• Ability to deal with problems involving several concrete variables in standardized situations
• Basic computer skills (windows, medical record software, MS Office, etc.) with proficient data entry skills of 40-50 wpm, in addition to basic knowledge of standard office equipment

Benefits

• Remote work in Pennsylvania