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Lead Collections Clerk

3 months ago

Philadelphia, Pennsylvania, United States Penn Medicine Full time

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?

Lead Collections Clerk

Job Summary:

  • The Lead Collections Clerk is responsible for the timely and efficient collection of insurance accounts receivable within a specified Accounts Receivable section while providing assistance and knowledge sharing to Patient Accounting Representatives within an assigned unit.

Responsibilities:

  • Handles outgoing appeals and incoming audits.
  • Monitors and manages the collection of assigned accounts receivables.
  • Documents each collection activity in the patient accounting system.
  • Initiates calls to insurance carriers to facilitate a payment and follows up on a timely basis.
  • Prepares accounts for bad debt based on departmental procedure and management approval.
  • Recommends accounts for free care or discounts based on predetermined criteria.
  • Enters adjustments and/or corrections to accounts to update the Patient Accounting file.
  • Initiates processing of late charges, rebills, insurance discounts, refunds, audit discrepancies, etc.
  • Responsible for dunning patients and insurance carriers.
  • Serves as an adjunct between supervisor and employees on daytoday operations.
  • Assists employees in prioritizing duties and resolving work questions.
  • Oversees special projects.
  • Keeps abreast of employees assigned to tasks and the status of their workload.
  • Assists in training new employees and departmental procedures.
  • Adheres to the Quality Review and Productivity standards established for each unit o individual, recognizing that approved special projects will be calculated into the Productivity standards.
  • Achieves a minimum of 90% of the assigned productivity standard weekly (after a 6week rampup period for new employees).
  • Achieves a minimum of 2.5 on Quality Reviews (after 3 mock QRs for new employees).
  • Communicates barriers that prevent reaching Productivity or Quality standards to department management.
  • Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.
  • Other duties as assigned to support the unit, department, entity, and health system organization.

Education or Equivalent Experience:

  • H.S. Diploma/GED (required).
  • 2+ years of experience in hospital patient accounting and/or an insurance company setting(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