St. Luke's University Health Network logo

Payment Reconciliation Specialist

St. Luke's University Health Network

  • Allentown, PA
  • 8 days ago
  • Remote

    Highlights

    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. Also responsible for reconciliation and balancing of Electronic Funds Transfers (EFTs), Electronic Remittance Transfers (ERAs), Credit Card payment files and daily lock box batches.

    Numbers & Facts

    LocationAllentown, PA (
    Remote
    )
    IndustryHealthcare Services
    Company Size5,000 to 9,999 employees

    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:

    Full Time, 40 hours/week

    Core hours are Mon-Fri 7:00 AM - 3:30 PM

    Flexible hours available:

    7-3:30,7:30-4, 8-4:30, 8:30-5:00.

    There are also opportunities for 6:30-3:00, 4/9's with a ½ day or 4/10's after training.

    No weekends, no holidays, no nights

    Home location is St. Luke's Center, Allentown, PA with the opportunity to work remote or hybrid remote, after at least 6 months on site and at the discretion of the manager, for PA and NJ candidates.

    This position is responsible for cash follow-up as well as cash posting, calling insurance companies is a must.

    The Payment and Reconciliation Specialist I is responsible for the accurate and timely preparation, posting and reconciliation of patient and insurance payments and related deposits. Also responsible for reconciliation and balancing of Electronic Funds Transfers (EFTs), Electronic Remittance Transfers (ERAs), Credit Card payment files and daily lock box batches.

    JOB DUTIES AND RESPONSIBILITIES:

    • Identifies and imports all electronic remittances from each contracted third party payer website.

    • Retrieves and uploads patient and insurance payment files from multiple lock boxes.

    • Analyzes and processes all payments, adjustments, rejections and deductibles that were not posted electronically.

    • Identifies, prepares and posts all payments to the accounts receivable that have been billed by the Business Office. Ensures the accurate posting of non-patient cash payments.

    • Applies payments, balances cash receipts, verifies and reconciles for accuracy each payment batch.

    • Utilizes electronic credit card approval systems to post and balance all credit card transactions to the accounts receivable.

    • Posts all non-payment explanation of benefits (EOBs) and enter accurate rejection codes to ensure account flows to the correct Accounts Receivable Analyst.

    • Researches and resolve timely any unapplied/unidentified payments received.

    • Ensures all monies are being accounted for correctly using various General Ledger code sets and accurate facility account assignments

    • Posts all wire transfers and manual deposits including the readying of checks received for deposit.

    PHYSICAL AND SENSORY REQUIREMENTS:

    Sitting for up to 8 hours per day, 4 hours at a time. Consistent use of hands and fingers for data entry, typing, telephones, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 10 pounds. Stoops, bends, and reaches above the 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 viewing computer screen.

    EDUCATION:

    High school graduate required or equivalent.

    TRAINING AND EXPERIENCE:

    Entry level position requiring proficient PC skills. Strong organizational skills and detail oriented required. Knowledge of Microsoft Excel and Word. Good research skills and excellent problem solving skills required. One year of medical cash posting or line item posting preferred.

    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 Company

    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.

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