Billing Clerk - Star Community Health Dental

St. Luke's University Health Network

Allentown, PA

JOB DETAILS
SKILLS
Accounts Receivable Management, Analysis Skills, Billing, Cash Flow, Claims Processing, Community Health, Data Entry, Documentation, English Language, Establish Priorities, Federal Laws and Regulations, Healthcare, Healthcare Providers, Hospital, Identify Issues, Insurance, Legal, Medical Billing, Medical Office, Nursing, Problem Solving Skills, Regulatory Requirements, Reimbursement, State Laws and Regulations, Third-Party Payer, Time Management, Typing
LOCATION
Allentown, PA
POSTED
7 days ago

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.

The Billing Clerk is responsible for accurate and timely preparation of accounts so that they can be submitted to third-party carriers, intermediaries, and guarantors in accordance with hospital and policy and billing requirements/regulations. Responsible for assisting in the management of accounts receivable while ensuring the maximization of the insurance payment. Handles all inquires on a timely basis according to hospital written procedures.

JOB DUTIES AND RESPONSIBILITIES:

  • Processes claims within assigned responsibility in a timely and efficient manner, performing all associated duties in order to ensure completeness and correctness of all claim information, facilitating maximum reimbursement: Analyzes, updates, and corrects claims data according to established procedure, Inputs data accurately, efficiently and consistently, Performs work as scheduled prioritizing as required for maximum cash flow, demonstrates thorough knowledge of third-party payers' claims requirements, computer capabilities as related to claims production, and dental records input as they affect claims.

  • Handles phone, mail, and personal inquires from and regarding patient accounts: Assists each person promptly, efficiently and courteously, Follows through on all issues identified as requiring action as a result of inquiry, Performs duties with a minimum of supervision; exhibits innovation and good judgment as well as thorough knowledge of ethical and legal billing procedures.

  • Performs related business office responsibilities as assigned: Follows hospital and department policies and procedures, Observes confidentiality in all matters, Maintains all documentation and records in accordance with federal and state regulations, Maintains courteous and professional relations with other departments and/or employees.

  • Takes active role in facilitation team approach to functions within the department: Attends departmental meetings, Actively participates as a team member in resolution of problems as they are identified, Analyzes current procedures, bringing suggestions for improvement to the attention of team members and supervisor for consideration.

  • Consistently conveys a professional appearance.

  • Knowledge of complying with Federal and State law and private payer health care program requirements as well as the hospital's ethical and business policies.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to 8 hours per day, 4 hours at a time. Continuously fingering and handling for data entry, typing, etc., and occasional twisting and turning. Uses upper extremities for occasional lifting and carrying of 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. Must be able to speak, read and write English. Bachelor's degree preferred.

TRAINING AND EXPERIENCE:

Experience with third party billing in a dental office or similar medical facility or physicians office is preferred. Direct experience required with PC and billing software, other office equipment, typing, and clerical experience.

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

About the Company

S

St. Luke's University Health Network

St. Luke's University Health Network is a regional network of hospitals, physicians and other related organizations providing care primarily in Lehigh, Northampton, Monroe, Carbon, Schuylkill, Bucks, Montgomery and Berks counties in Pennsylvania and Warren County in New Jersey.

The Network provides services at more than 150 sites. St. Luke's University Health Network is comprised of six hospital sites. The Network includes:

  • More than 80 owned physician-practice sites
  • 300 employed primary care/specialist physicians
  • Various outpatient testing and service facilities
  • Home health
  • Hospice services (inpatient and outpatient)
  • Largest ambulance provider in Bucks County and second largest in Lehigh County
  • Other related organizations
  • 57,500+ annual admissions
  • 195,000 annual emergency room visits
  • 1,325 physicians on the Medical Staff (96 percent board-certified)
  • 8,600+ employees
  • More than 1,350 volunteers

Areas of exceptional medical expertise include:

  • Level 1 Adult Trauma Center: fully accredited by Pennsylvania Trauma Systems Foundation; 2,400+ annual trauma cases; St. Luke's 1.75 percent mortality rate represents top decile performance, significantly better than peer group as measured by National Trauma Data Bank of the American College of Surgeons; aeromedical transport services
  • Oncology: first and only cancer program in Pennsylvania to receive American College of Surgeons' highest quality recognition for three consecutive years; only Pennsylvania program to receive award in 2010; region's only fellowship-trained surgical oncologists; advanced programs for melanoma (internationally recognized melanoma investigator), lung, breast, prostate, gynecologic and gastrointestinal cancers and tumors of the brain and spine
  • Cardiology and Cardiovascular Surgery: multiple-year recipient of highest rating for cardiac bypass surgery, represents top decile performance achieved by only 10 percent of U.S. hospitals (Society for Thoracic Surgery); region's first Joint Commission certified Heart Failure Program; comprehensive surgical services excluding heart transplants
  • Neuroscience: accredited Stroke Center; additional Centers of Excellence include: Balance Center, Headache Center, Memory Disorders Center, Multiple Sclerosis Center, Sleep Disorders Center
  • Orthopaedics: advanced expertise in total joint replacement and reconstruction, computer-assisted minimally invasive surgery, primary and reconstructive surgery of the spine, sports injuries, diseases and conditions of the hand and elbow, traumatic injuries
  • Women's/Children's Health: high-risk pregnancy; the region’s busiest obstetrical service; two neonatal intensive care units; pediatric specialty care provided by St. Christopher's Hospital for Children.
  • Robotic/Minimally Invasive Surgery: one of the nation's most experienced robotic surgical teams
  • Radiology: designated international General Electric Healthcare Show Site for imaging technology; designated Breast Imaging Center of Excellence by American College of Radiology
  • Bariatric Surgery: designated Center of Excellence by American Society for Metabolic and Bariatric Surgery and Surgical Review Corporation

St. Luke's offers an exceptional benefit plan for employees. Our values are reflected in all we do for patients, each other and the community:

Pride - We take pride in our accomplishments and in our organization.

Caring - We show consideration for others and their feelings. We treat others as we want to be treated.

Respect - We recognize the value, diversity and importance of each other, those we serve and the organization.

Accountability - We are responsible to make decisions and solve problems in a timely and effective manner.

Flexibility - We adapt to the changing needs and expectations of those we serve.

Teamwork - We work together to improve quality.

The mission of St. Luke's University Health Network 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.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Healthcare Services