Imagine a career at one of the nation's 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. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's 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 LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.
Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.
Summary
Executes the timely process of electronic and manual payments, denials, and adjustments to ensure both hospital and physician Account Receivables are current. Manages assigned work queues to ensure timely and accurate distribution of monies to hospital and physician A/R as well as General Ledger allocations. Researches and resolves payment discrepancies, PLB's, questions from Revenue Cycle colleagues and Finance Department.
Job DutiesPromotes revenue integrity for the organization by ensuring timely and accurate posting of insurance and self-pay payments to hospital and physician accounts. Analyzes explanation of benefits (EOB) to identify denials, payments, and recoupment for manual batches posted. Processes electronic batches, resolving any errors or conflicts necessary to close the batch timely. Completes batch reconciliation forms to ensure that all batches are complete and balanced at the end of the posting process. Resolves undistributed work queues, suspense accounts, and unidentified checks for proper posting, researching the appropriate account for monies to be posted. Processes payment transferred to other entities or legacy systems through a GL entry. Updates and maintains all logs and spreadsheets used for reconciliation. Participates in work flow and process improvement by escalating to department leadership trends identified with individual payer practices related to payments.
Minimum QualificationsHigh School Diploma/GED 3 years Patient accounting healthcare experience and/or accounts receivable experience utilizing automated patient accounting systems or 2 years Payment posting for insurance in a hospital or physician office setting Knowledge of insurance contracts and regulations. Mathematical competency to understand debits, credits, and adjustments. Strong analytical and problem-solving skills. Proficiency in Microsoft Office Suite of Products (Word, Excel, PowerPoint, Outlook). Successful completion of DOE and Revenue Cycle Education within 3 months of hire.
Preferred QualificationsAssociate’s Degree Healthcare Administration, Finance or Business
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 employer. In 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.
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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.
Work Shift:
Day ShiftAddress:
2100 Mack BlvdPrimary Location:
Mack BuildingPosition Type:
OnsiteUnion:
Not ApplicableWork Schedule:
Monday - Friday; 7:00a - 3:30pDepartment:
1004-13052 CSS-Patient Receivables Office