Accounts Receivable Coordinator

ST. LUKES's HOSPITAL & HEALTH NETWORK - Allentown, PA

Full-time

Allentown, PA

Hospitals

About the position

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.

Responsibilities

• Provide guidance and assistance to AR specialists in the third-party claims submission process.
• Assist in prioritizing work for the ongoing maintenance of the Epic system.
• Submit and follow up on claims in a timely manner when necessary.
• Manage and maintain the necessary systems and equipment for the billing office staff.
• Conduct training, productivity, and refresher courses for assigned staff after initial training.
• Identify system or procedural problems causing third-party claim rejections and implement plans to minimize these rejections.
• Perform work as scheduled, prioritizing tasks for maximum cash flow.
• Demonstrate thorough knowledge of third-party payers' claims requirements and related processes.
• Comply with all hospital and departmental policies and procedures.
• Assist in formulating staff corrective actions and initiate periodic staff evaluations.
• Function as a backup to members of the accounts receivable team within the Physician or Hospital Business Office.

Requirements

• High School Diploma / GED required.
• Three years of physician business office experience required.
• Thorough knowledge of third-party payers and payment posting processes for all major insurances required.

Nice-to-haves

• Previous experience and proficiency with Microsoft Office Suite preferred.