Join a team that delivers excellence.

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.

Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.

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.

Supports management in leading colleagues that are responsible for Account Receivable Follow up. Monitors work queues and identifies accounts that underpaid/unpaid or have line item denials for balance resolution. Works closely with the Supervisor/Manager to identify workflow or procedural processes to enhance collection of open Accounts Receivable. Monitors staff performance (e.g. productivity, quality) and meets regularly with colleagues to review results and to identify ways to improve performance in an effort to enhance revenue.

Job Duties

• Leads team responsible for accurate and timely resolution of open Account Receivable.
• Conducts quality reviews of accounts to ensure that accounts are being worked in a timely and efficient manner consistent with department standards.
• Conducts desk side sessions with colleagues to review productivity, quality and address any questions/concerns as procedures are enhanced or new procedures developed.
• Conducts initial training and education for colleagues, re-education sessions for existing colleagues, and remedial training as errors are identified.
• Supports Supervisor/Manager in monitoring Epic Work Queues to ensure accounts are being worked based upon priority rating (from Priority 1 down).
• Maintains up-to-date knowledge on payer requirements; recommends workflow changes as new requirements are implemented by the payer.
• Serves as the Subject Matter Expert for colleagues to assist with claim payment or workflow procedure questions.
• Reviews and approves adjustment and refund requests submitted by colleagues within established time parameters.

• High School Diploma/GED
• 3 years Professional and/or facility medical billing experience and/or medical accounts receivable experience utilizing automated patient accounting systems required for all major third party payers.
• Proficiency in Microsoft Excel.
• Working knowledge of Epic systems.
• Strong analytical, mathematical, and problem-solving skills.
• Knowledge of third party billing, claims processing procedures, and standard ANSI denial codes and remark codes.
• Knowledge of Advance Beneficiary Notice of Medicare non-coverage services and the different types of ABNs or Waivers.
• Knowledge of the use of modifiers needed for billing claims and reimbursement rules as they relate to all patient classes.
• Knowledge of financial reporting systems, role of regulatory authorities, legal entities, and corporate governance.
• Certified Revenue Cycle Systems for Institutions - State of Pennsylvania Upon Hire

• Associate's Degree
• CPB - Certified Professional Biller AAPC - State of Pennsylvania within 180 Days

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.

Influenza vaccination and COVID-19 Vaccination is required for all colleagues unless medically contraindicated or due to a bona fide religious belief or practice. Applicants possessing a medical marijuana card will not be considered for safety sensitive positions.

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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LVHN hospitals in the Lehigh Valley are the only hospitals in the region to have received Magnet recognition five consecutive times since 2002. This prestigious recognition from the American Nurses Credentialing Center demonstrates our commitment to nursing excellence and quality patient outcomes. LVHN is home to five clinical institutes. Each serve as a hub for innovation, collaboration and education. Our institutes include Lehigh Valley Topper Cancer Institute, Lehigh Valley Heart and Vascular Institute, Lehigh Valley Institute for Surgical Excellence, Lehigh Valley Fleming Neuroscience Institute and Lehigh Valley Orthopedic Institute. LVHN is also home to Lehigh Valley Reilly Children's Hospital, which is the only children's hospital in the region. This hospital gives our community access to more than 30 pediatric specialties, Children's ExpressCARE locations and a dedicated Children's ER.

We've been consistently recognized by U.S. News & World Report as the top hospital in the region and among the best in the state. We're also Great Place to Work-Certified, which means an overwhelming majority of our colleagues have a positive experience at LVHN.

These designations tell you that LVHN is a great place to work from hire to retire. If you are someone who aligns with LVHN's core values - Compassion, Integrity, Collaboration and Excellence - you will have a rewarding and successful career here.

Individuals are required to adhere to all LVHN vaccination policies in effect at the time of hire. Employees will be subject to pre-employment drug and alcohol testing. Please note that safety sensitive positions cannot test positive for marijuana or its metabolites, medical or otherwise.

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.