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.

The Billing Representative is responsible for accurate and timely preparation of accounts so that they can be submitted to third-party carriers, intermediaries, and guarantors in accordance with billing requirements/regulations. Responsible for assisting in the management of accounts receivable while ensuring the maximization of the insurance payment. Handles all inquires on a timely basis.

JOB DUTIES AND RESPONSIBILITIES:

1. Processes claims within assigned responsibility in a timely and efficient manner, performingall associated duties in order to ensure completeness and correctness of all claim information,facilitating maximum reimbursement:- Analyzes, updates and corrects claims data according to established procedure- Inputs data accurately, efficiently and consistently.- Performs work as scheduled, prioritizing as required for maximum cash flow.- Demonstrates thorough knowledge of third-party payers' claims requirements, HCFA 1500 requirements by payer, computer capabilities as related to claims production, and admitting/medical records input as they affect claims.2. Handles phone, mail, and personal inquiries from and regarding patient accounts:- Assists each person promptly, efficiently and courteously.- Follows through on all issues identified as requiring action as a result of inquiry.- Performs duties with a minimum of supervision; exhibits innovation and good judgment as well as thorough knowledge of ethical and legal billing procedures.3. Post all payments to billing system and reconcile to daily deposit. Research any unidentifiedpayments and process refunds.4. Maintain current knowledge of procedure codes, insurance codes, diagnosis codes andPhysician Billing system.5. Maintain high level of competence on Physician Billing computer system.6. Performs related business office responsibilities as assigned.- Maintains all documentation and records in accordance with federal and state regulations.- Maintain courteous and professional relations with other departments and/or employees.7. Takes active role in facilitation team approach to functions within the department:- Attends departmental meetings.- Actively participates as a team member in resolution of problems as they are identified.- Analyzes current procedures, bringing suggestions for improvement to the attention of team members and supervisor for consideration.8. Maintains confidentiality of all materials handled within the Network/ Entity as well as theproper release of information.9. Complies with Network and departmental policies regarding issues of employee, patient andenvironmental safety and follows appropriate reporting requirements.10. Demonstrates/models the Network’s Service Excellence Standards of Performance ininteractions with all customers (internal and external).11. Demonstrates Performance Improvement in the following areas as appropriate: ClinicalCare/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.12. Demonstrates financial responsibility and accountability through the effective and efficientuse of resources in daily procedures, processes and practices.13. Complies with Network and departmental policies regarding attendance and dress code.

2. Other related duties as assigned.

OTHER FUNCTIONS:

1. In the absence of an employee within the Physician Billing department, workloads may beshifted for an indefinite period.2. Enter daily demographic and charge information.3. Maintains confidentiality of all material handled within the hospital as well as the properrelease of information.4. Demonstrates attitude of cooperation and professionalism.

PHYSICIAL AND SENSORY REQUIREMENTS:

Sitting for 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 of up to 20 pounds of files. Frequently stoops, bends, or reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation and telephones Seeing as it relates to general vision. Visual monotony when reading reports and reviewing computer screens.EDUCATION:

High School Diploma, Two year associate degree and/or 3 years related experience to this positionMust be able to speak, read and write English.

TRAINING AND EXPERIENCE:

Experience with third party billing in a physician's or dental office is preferred.

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. (http://www.slhn.org/EOE)