Accounts Receivable Specialist

St. Luke's University Health Network is an Equal Opportunity Employer. Position Summary: The Accounts Receivable Specialist I is responsible for billing and collection of accounts receivable for St. Luke's Hospital services and/or professional‑fee billing for physician and advanced practitioner services. The role requires accurate and timely submission of claims to third‑party payers, intermediaries, and guarantors in accordance with Network policy. Responsibilities Process all UB04 and HCFA‑1500 claims through the billing system, using the claims scrubber efficiently. Verify accuracy of billing data and revise as needed. Prioritize claim submissions to ensure timely filing and maximize cash flow. Identify and report claim submission issue trends to the management team. Obtain and maintain an understanding of third‑party billing requirements, including federal, state, and commercial payers. Investigate and review claims based on productivity standards set by management. Analyze daily aging of insurance accounts to determine appropriate follow‑up for non‑payment and delayed‑payment accounts. Analyze denied claims, investigate the reasons for denial, and take necessary action to resolve or appeal the denial. Seek resolution to problematic accounts and payment discrepancies with the goal of receiving accurate payments and maximum reimbursement. Submit status updates for claims resolution, appeals, and corrected claims via payer websites when possible. Qualifications High School Diploma or equivalent. Medical Billing/Coding Program certificate preferred. Ability to speak, read, and write English. Strong verbal and written communication skills. Experience with third‑party billing in a hospital or physician office is preferred. Direct experience required with Microsoft Office Suite and web navigation or web‑based applications. Physical & Sensory Requirements Sitting up to 8 hours per day, 4 hours at a time. Continuous data entry and typing. Occasional twisting and turning. Use of upper extremities for lifting and carrying up to 10 lbs. Frequent stooping, bending, or reaching above shoulder level to retrieve files. Normal hearing for conversation and telephone. Normal vision for general tasks and screen reading. EEO Statement St. Luke's University Health Network is an Equal Opportunity Employer. #J-18808-Ljbffr