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Remote Insurance Accounts Receivable Jobs in Pennsylvania

UHS

Accounts Receivable Specialist - REMOTE

PA · On-site +1

$18.25 - $24.25/hr

Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely ... insurances, claim submission requirements, reimbursement guidelines, and denial reason codes

Gateway Rehab

Billing Specialist - Remote

Pittsburgh, PA · On-site +1

$18.75 - $25.25/hr

Monitors and collects outstanding accounts receivable and performs investigation and follow-up on ... Familiarity with commercial insurance providers, including prior authorizations and claim ...

WorkWave

Collections Specialist

Philadelphia, PA · On-site +1

$50K - $54K/yr

We are looking for a proactive Collections Specialist to manage our accounts receivable lifecycle ... Join our Remote-First Global Work Community: WorkWave provides an innovative and dynamic remote ...

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What is the difference between Remote Insurance Accounts Receivable vs Remote Insurance Billing Specialist?

AspectRemote Insurance Accounts ReceivableRemote Insurance Billing Specialist
Primary RoleManaging outstanding claims and payments, follow-up on unpaid accountsPreparing and submitting insurance claims, coding, and billing processes
Required SkillsAccounts management, collections, communication skillsBilling software proficiency, coding, claim submission
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare or insurance companies

While both roles operate remotely within the insurance industry, the Insurance Accounts Receivable focuses on collecting payments and managing unpaid claims, whereas the Insurance Billing Specialist handles claim preparation and submission. Understanding these differences helps job seekers target the right position based on their skills and career goals.

What are popular job titles related to Remote Insurance Accounts Receivable jobs in Pennsylvania? For Remote Insurance Accounts Receivable jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Accounts Receivable jobs in Pennsylvania look for? The top searched job categories for Remote Insurance Accounts Receivable jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Remote Insurance Accounts Receivable jobs? Cities in Pennsylvania with the most Remote Insurance Accounts Receivable job openings:
Remote Insurance Accounts Receivable jobs near you
Accounts Receivable Specialist- Physician Billing

Accounts Receivable Specialist- Physician Billing

St. Luke's University Health Network

Allentown, PA • On-site, Remote

$20 - $26.50/hr

Full-time

Posted 9 hours ago

St. Luke's University Health Network rating

7.1

Company rating: 7.1 out of 10

Based on 257 frontline employees who took The Breakroom Quiz

369th of 864 rated healthcare providers

Job 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 per week.

Mon-Fri, Days, with flexible start time after completing training. (Between 7 and 9 AM)

Home base of St. Luke's Center, Allentown, PA, with the opportunity to work remote or hybrid remote upon completing at least 6 months of on- site training, at the discretion of the manager, for local (PA or NJ) candidates.

The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable for either St. Luke's Hospital services and/or the professional-fee billing for physician and advanced practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network policy.

JOB DUTIES AND RESPONSIBILITIES:

  • Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

  • Performs duties as scheduled, prioritizing as required to ensure claims are submitted timely, and maximize cash flow is received.

  • Verifies accuracy of billing data and makes revisions as need be.

  • Identifies and reports any claim submission issue trends to Management team.

  • Obtains and maintains a basic understanding of third party billing requirements as assigned, including federal, state and commercial payers.

  • Responsible for account receivable, investigates and reviews claims based on the productivity standards set by management.

  • Analyze daily aging of insurance accounts via the billing system to determine appropriate follow up for non- payment and delayed payment accounts, as well as to ensure compliance with all Federal, state, insurance payer and St. Luke's Network policies.

  • Analyzes denied claims and investigates the reasons causing the denial and takes the necessary action to resolve the denial and/or resolution of the account.

  • Seeks resolution to problematic accounts and payment discrepancies with optimal goal of receiving accurate payments and maximum reimbursement.

  • Statuses claims resolution, appeals and corrected claims via payer websites when possible.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting 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 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. Medical Billing/Coding Program certificate preferred. Must be able to speak, read and write English. Must possess strong verbal and written communication skills.

TRAINING AND EXPERIENCE:

Experience with third party billing in a hospital similar medical facility or physician's office is preferred. Direct experience is required with Microsoft Office Suite and web navigation and /or web based applications.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, 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.

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