Billing Integrity Coordinator

2 weeks ago

Philadelphia, Pennsylvania, United States Pennsylvania Medicine Full time

Penn Medicine is committed to its mission of delivering exceptional patient care, pioneering research, and nurturing the next generation of medical professionals. Joining this esteemed academic medical center means collaborating with leading experts across various fields.

At Penn Medicine, every day presents an opportunity for breakthroughs. Our team members play a vital role in healing, providing hope, and offering comfort. Are you ready to contribute to our mission?

Position Title: Revenue Integrity Specialist
Department: Data Management
Employment Type: Full Time

Overview:

This role is essential in supporting Revenue Cycle Operations (RCO) concerning front-end billing challenges, billing discrepancies, insurance follow-ups, and all contracted payment accounts. The responsibilities encompass all professional and hospital services performed or billed through Penn Medicine. You will conduct daily charge reconciliations and ensure timely posting of services to the correct departments, working collaboratively to uphold charge integrity, minimize charge lag, enhance reimbursement, and reduce denials.

  • Leverage health system and external tools to oversee charges and edits, ensuring prompt and precise reimbursement for services rendered.
  • Assist front office personnel in resolving patient-related issues.
  • Provide accurate self-pay rate quotes to patients as per entity guidelines.
  • Input charges and/or corrections into the relevant systems, resolving all pre-billing edits and reconciling charge reports within two business days.
  • Collaborate with various teams to proactively identify and rectify issues or discrepancies in expected volumes.
  • Engage directly with the leadership team to meet the strategic and operational goals of the department.
  • Support departmental leadership in maintaining high standards of charge data integrity.
Qualifications:
  • Preferred: Certification from the American Association of Healthcare Administrative Management.
  • Preferred: Revenue Cycle Certification.
Education and Experience:
  • High School Diploma/GED (Required).
  • Minimum of 3 years in a Hospital or Practice Revenue Cycle Setting, with experience in insurance carriers and medical billing.
  • Bachelor's degree in Arts or Science with at least 2 years in a Hospital or Practice Revenue Cycle Setting, focusing on insurance carriers and medical billing. Specialization in Healthcare, Finance, Management, or related fields is preferred.

Penn Medicine believes that optimal patient care begins with the well-being of its employees. Our comprehensive benefits programs are designed to promote health and wellness among our staff. We offer an extensive compensation and benefits package, including one of the best prepaid tuition assistance programs in the region. Our employees are dedicated to our mission, and together, we strive to advance medical knowledge and improve lives.

Join us in our commitment to excellence.

Equal Opportunity Employer:
Penn Medicine is an Equal Opportunity and Affirmative Action employer. We consider candidates 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.

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