Accounts Resolution Specialist I

Penn Medicine • Philadelphia, PA • 2h ago

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Job Title: Accounts Resolution Specialist I

Department: RAD-O-BRO Data Acct Receivable

Location: Fully Remote

Hours: Mon-Fri office hours per department needs

Summary:

The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to facilitate activities necessary to a successful resolution of accounts. This position will work out of assigned work queues handling claim edit work queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department intervention. Individuals will be responsible for investigating claim denials and underpayments by insurance carriers and appeal for payment or make appropriate adjustment. Exercising good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution.

Responsibilities:

Responsible for patient account research in relation to working accounts within the claim edit work queue and follow-up work queue.

Identifying untimely accounts and performing accurate and timely write offs adhering to policy guidelines.

Responsible for maintaining the highest level of billing standards following current guidelines from Medicare, Medicaid, and other insurance entities.

Answering revenue cycle patient inquiries as well as front desk questions regarding patient accounts.

Meets or exceeds established performance targets (productivity and quality) established by the Supervisor of Billing.

Education or Equivalent Experience:

H.S. Diploma/GED (Required)

3+ years Working in health care (professional) billing, health insurance or equivalent (Required)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 323833

Similar Jobs

Data Scientists/Data Analyst

NEXGEN IT SOURCING LLC • King Of Prussia, PA • 1h ago

IT & Engineering

Data modelling for RCM Decision Services, enhance autonomy, manage BURP planning and delivery, and collaborate with analytics to improve data refresh and Tableau dashboards. Reduce data inconsistency in the billing rules...

1h ago

Go to Apply

Software Developer/Data Scientist

Noblis • Philadelphia, PA • 1h ago

IT & Engineering

Responsibilities We are looking to hire a software developer/data scientist to provide support to various ship programs for the US Navy. In this role, you will support the Logistics Department, and will utilize expertise...

1h ago

Go to Apply

Senior Director, Performance Analytics and Insights Specialty Care

Pfizer • Collegeville, PA • 2h ago

IT & Engineering

Job Description Global Commercial Analytics (GCA) sits at the intersection of data, strategy, and commercial decision-making - translating complex, multi-source data into the intelligence that drives Pfizer's most conseq...

2h ago

Go to Apply

AI/ML Software Engineer

GE Aerospace • Trevose, PA • 2h ago

IT & Engineering

Job Description Summary This role is a hybrid between an AI engineer, data scientist, and software developer, designed for someone who can operate across the full lifecycle of AI system development. You'll play a key rol...

2h ago

Go to Apply

Senior Data Science Engineer

T-Mobile USA, Inc. • Philadelphia, PA • 2h ago

IT & Engineering

At T-Mobile, we invest in YOU! Our Total Rewards Package ensures that employees get the same big love we give our customers. All team members receive a competitive base salary and compensation package - this is Total Rew...

2h ago

Go to Apply

Account Executive

Comcast • Philadelphia, PA • 2h ago

Sales & Marketing

Make your mark at Comcast -- a Fortune 30 global media and technology company. From the connectivity and platforms we provide, to the content and experiences we create, we reach hundreds of millions of customers, viewers...

2h ago

Go to Apply

Adjunct Faculty, Department of Civil & Environmental Engineering

Rowan University • Glassboro, NJ • 2h ago

IT & Engineering

A top 100 national public research institution, Rowan University offers bachelor's through doctoral and professional programs in person and online to nearly 25,000 students. The fastest-growing public research institutio...

2h ago

Go to Apply

A 3rd Shift Maintenance Supervisor

ALMAC Group • Souderton, PA • 2h ago

Retail & Hospitality

Almac Group is currently seeking a 3rd Shift Maintenance Supervisor for our Souderton, PA** location. The Maintenance Supervisor will supervise the Machine Technician and Production Technician staff in the day-to-day dut...

2h ago

Go to Apply

Account Executive

Comcast • Philadelphia, PA • 2h ago

Sales & Marketing

2h ago

Go to Apply

Acceleration Center - Full-Stack Cloud Engineer - Experienced Associate

PwC • Philadelphia, PA • 2h ago

IT & Engineering

Specialty/Competency: Risk Architecture Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 60% The Opportunity As an Acceleration Center - Full-Stack Cloud Engineer - Experienced Associate, y...

2h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)