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Penn Medicine, University of Pennsylvania Health System · 2 months ago

Accounts Resolution Specialist I

Philadelphia, PA

Full-time

Onsite

Mid Level

3+ years exp

Penn Medicine is a leading academic medical center dedicated to providing high-quality patient care, conducting innovative research, and educating future leaders in medicine. The Accounts Resolution Specialist I is responsible for resolving accounts by investigating claim denials and underpayments, ensuring compliance with billing standards, and maintaining productivity targets.

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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

Qualification

Health care billingClaim denial investigationInsurance appealsRevenue cycle managementJudgement

Required

H.S. Diploma/GED (Required)

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

Benefits

Comprehensive compensation and benefits program

Prepaid tuition assistance programs

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765

Philadelphia, Pennsylvania, USA

10001+ employees