ST. LUKES's HOSPITAL & HEALTH NETWORK - Allentown, PA
posted 4 months ago
The Accounts Receivable Coordinator at St. Luke's is a vital role that focuses on the training and coordination of activities related to third-party claim form formats, claim scrubbing, submission, and editing. This position is essential for ensuring optimal reimbursement and maximizing cash flow while adhering to federal and state requirements, as well as the policies and regulations of the hospital and physicians involved. The coordinator will be responsible for timely follow-up on claims, resolving denials, posting payments, and processing all related correspondence. In this role, the Accounts Receivable Coordinator will provide guidance and assistance to Accounts Receivable specialists throughout the claims submission process. They will help prioritize work for the ongoing maintenance of the Epic system and assist in the timely submission and follow-up of claims as necessary. The coordinator will also manage and maintain the necessary systems and equipment required for the billing office staff to perform their duties effectively. Training and refresher courses for assigned staff will be part of their responsibilities, ensuring that all team members are well-equipped to handle their tasks. Additionally, the coordinator will identify any system or procedural problems that lead to third-party claim rejections and will formulate and implement plans to minimize or eliminate these issues. They will perform their work as scheduled, prioritizing tasks to maximize cash flow, and demonstrate a thorough knowledge of third-party payer claims requirements, including UB04 and 1500 requirements. Compliance with all hospital and departmental policies and procedures is mandatory, and the coordinator will assist in formulating corrective actions for staff and initiate periodic evaluations. This position also serves as a backup for members of the accounts receivable team within the Physician or Hospital Business Office.