Accounts Resolution Specialist I - Ophth Clinical Support SEI jobs in United States
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Penn Medicine, University of Pennsylvania Health System · 1 day ago

Accounts Resolution Specialist I - Ophth Clinical Support SEI

Penn Medicine is dedicated to providing the highest level of care to patients and conducting innovative research. The Accounts Resolution Specialist I is responsible for facilitating activities necessary for successful account resolution, including investigating claim denials and underpayments by insurance carriers.

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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 billingInsurance claims resolutionClaim denial investigationBilling standards complianceCustomer service

Required

H.S. Diploma/GED (Required)
3+ years Working in health care (professional) billing, health insurance or equivalent

Benefits

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.

Funding

Current Stage
Late Stage
Total Funding
$70.9M
Key Investors
BIRD FoundationWarren Alpert FoundationNational Cancer Institute
2025-01-22Grant
2023-01-03Grant· $9.7M
2022-08-18Grant· $5.7M

Leadership Team

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Kevin Mahoney
Chief Executive Officer of University of Pennsylvania Health System
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John Donohue
Vice President, Enterprise Services
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Company data provided by crunchbase