Physician Biller
East Stroudsburg, PA - USA
Job Summary
Imagine a career at one of the nations most advanced health networks.
Be part of an exceptional health care experience. Join the inspired passionate team at Lehigh Valley Health Network a nationally recognized forward-thinking organization offering plenty of opportunity to do great work.
LVHN has been ranked among the Best Hospitals by U.S. News & World Report for 23 consecutive years. Were a Magnet(tm) Hospital having been honored five times with the American Nurses Credentialing Centers prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally Lehigh Valley Hospital - Cedar Crest Lehigh Valley Hospital - Muhlenberg Lehigh Valley Hospital- Hazleton and Lehigh Valley Hospital - Pocono each received an A grade on the Hospital Safety Grade from The Leapfrog Group in 2020 the highest grade in patient safety. These recognitions highlight LVHNs commitment to teamwork compassion and technology with an unrelenting focus on delivering the best health care possible every day.
Whether youre considering your next career move or your first you should consider Lehigh Valley Health Network.
Summary
Updates patient information which usually consists of health care status and health insurance. Works with the coding and credentialing departments to resolve issues or edits in an effort to avoid any delays in sending claims.
Job Duties
- Assists patients families and insurance carriers with billing inquiries.
- Processes coding corrections and late charges.
- Works closely to identify inefficient claim edits and develops necessary and new claim edits.
- Reviews and resolves claims with missing information accounts (unchecked).
- Handles edits for patients registered as self-pay to ensure that there is not active Medicaid coverage.
- Follows up on denials and incorrectly paid claims utilizing reports on daily weekly and monthly basis.
- Reviews claims in pre-bill status for accuracy and coordinates with ancillary departments as needed to resolve claim edits.
- Documents billing activity on patient encounter according to departmental standards and guidelines.
Minimum Qualifications
- High School Diploma/GED
- 1 year 1 year of experience in billing or health insurance within a physicians practice or equivalent operations environment and
- Less than 1 year prior administrative experience.
- Excellent problem solving skills.
- Knowledge and thorough understanding of the revenue cycle process.
- Well developed oral/written communication skills.
- Strong orientation to patient/customer satisfaction.
Preferred Qualifications
- Associates Degree
Physical Demands
Lift and carry 25 lbs. frequent sitting/standing frequent keyboard use *patient care providers may be required to perform activities specific to their role including kneeling bending squatting and performing CPR.
Job Description Disclaimer: This position description provides the major duties/responsibilities requirements and working conditions for the position. It is intended to be an accurate reflection of the current position however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity accordance with and where applicable in addition to federal state and local employment regulations Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race color religion sex age national origin sexual orientation gender identity disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include but are not limited to recruitment selection hiring transfers promotions terminations compensation benefits educational programs and/or social activities.
Work Shift:
Day ShiftAddress:
511 VNA RdPrimary Location:
East Stroudsburg - 511 VNA RoadPosition Type:
OnsiteUnion:
Not ApplicableWork Schedule:
M-F occasional Saturday 8hrsDepartment:
LVPG-P Monroe Endoscopy Center at 511 VNA RdRequired Experience:
IC
About Company
Wherever our health network’s journey takes us in the years to come, you can be sure we will carry forth the passion our founders, as well as their enduring vision: to provide the people of the Lehigh Valley with the best possible health care – right in their own backyard. The care ... View more