Title: Supervisor Third Party A/R Follow Up Location: Atlanta, GA, United States Type Revenue Cycle Schedule Full-Time Job ID 8886 Job Description: Responsibilities: RESPONSIBLE FOR: Providing leadership and oversight for Third Party A/R Follow-up function within Patient Financial Services. Functions under the responsibility of A/R Follow-up include contacting third party payors to collect on unpaid claims in a timely and accurate manner, and others as assigned. The Third Party A/R Follow-up Supervisor reports to the Third Party A/R Manager. REMOTE/WORK FROM HOME Qualifications: MINIMUM EDUCATION REQUIRED: High School diploma or GED equivalent. MINIMUM EXPERIENCE REQUIRED: Three (3) years of revenue cycle experience required. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: N/A ADDITIONAL QUALIFICATIONS: Bachelor's (or Associate's) preferred. Five (5) years of related Revenue Cycle experience, preferably within Third Party A/R Follow-up. Three (3) years of supervisory experience preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative. Previous Epic experience. LI-POST #GD Business Unit : Company Name: Piedmont Healthcare Corporate

Manage outstanding claims by ensuring timely billing and resolving errors, expedite claim adjudication, and handle complex denials while maintaining accurate records and communication with patients and insurance providers.

Title: Accounts Receivable Specialist- Physician Billing Location: Allentown United States Full time Job Description: St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. HOURS: Full Time, 40 hours per week. Mon-Fri, Days, with flexible start time after completing training. (Between 7 and 9 AM) Home base of St. Luke's Center, Allentown, PA, with the opportunity to work remote or hybrid remote upon completing at least 6 months of on- site training, at the discretion of the manager, for local (PA or NJ) candidates. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable for either St. Luke's Hospital services and/or the professional-fee billing for physician and advanced practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network policy. JOB DUTIES AND RESPONSIBILITIES: - Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement. - Performs duties as scheduled, prioritizing as required to ensure claims are submitted timely, and maximize cash flow is received. - Verifies accuracy of billing data and makes revisions as need be. - Identifies and reports any claim submission issue trends to Management team. - Obtains and maintains a basic understanding of third party billing requirements as assigned, including federal, state and commercial payers. - Responsible for account receivable, investigates and reviews claims based on the productivity standards set by management. - Analyze daily aging of insurance accounts via the billing system to determine appropriate follow up for non- payment and delayed payment accounts, as well as to ensure compliance with all Federal, state, insurance payer and St. Luke's Network policies. - Analyzes denied claims and investigates the reasons causing the denial and takes the necessary action to resolve the denial and/or resolution of the account. - Seeks resolution to problematic accounts and payment discrepancies with optimal goal of receiving accurate payments and maximum reimbursement. - Statuses claims resolution, appeals and corrected claims via payer websites when possible. PHYSICAL AND SENSORY REQUIREMENTS: Sitting up to 8 hours per day, 4 hours at a time. Continuously fingering and handling for data entry, typing, etc… and occasional twisting and turning. Uses upper extremities for occasional lifting and carrying up to 10 lbs. Frequently stoops, bends, or reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation and telephone. Seeing as it relates to general vision. Visual monotony when reading reports and reviewing computer screens. EDUCATION: High School Diploma or equivalent. Medical Billing/Coding Program certificate preferred. Must be able to speak, read and write English. Must possess strong verbal and written communication skills. TRAINING AND EXPERIENCE: Experience with third party billing in a hospital similar medical facility or physician's office is preferred. Direct experience is required with Microsoft Office Suite and web navigation and /or web based applications. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

• Process bank deposits and apply to outstanding receivables in Workday • Reconcile bank account with Workday • Post daily bank deposits to Microsoft Dynamics cash subledger via upload • Obtain supporting documentation for bank deposits from outside vendors • Submit tickets to internal team(s) to review and process missing client agreements and/or other information to allow for cash application in Workday • Manage the status of accounts and balances and identify inconsistencies • Assist with general accounting month-end closing procedures as needed • Update accounts receivable database with new accounts or missed payments • Interact with customers and team leaders to resolve outstanding issues • Perform additional administrative duties as requested or assigned • Adhere to the standards and Code of Conduct of Resources Investment Advisors’ Broker/Dealer as described in all compliance and operations manuals.