Revenue Cycle Specialist

3 days ago


Philadelphia, Pennsylvania, United States Pennsylvania Medicine Full time
Job Title: Revenue Cycle Specialist

Job Summary:

Pennsylvania Medicine is dedicated to delivering exceptional patient care, conducting innovative research, and educating future healthcare leaders. As a Revenue Cycle Specialist, you will play a critical role in ensuring the financial integrity of our healthcare services.

Key Responsibilities:

  • Support Revenue Cycle Operations by resolving front-end billing issues, billing exceptions, and edits, as well as insurance follow-up and contracted payment accounts.
  • Perform daily charge reconciliation to ensure accurate posting of services to the appropriate department in a timely manner.
  • Collaborate with various departments to maintain high charge integrity, minimize charge lag, and enhance reimbursement while reducing denials.
  • Utilize health system and external tools to monitor charges and edits for timely and accurate reimbursement of services rendered.
  • Provide support to front office staff to resolve patient issues and accurately quote self-pay rates to patients as indicated by entity guidelines.
  • Enter charges and/or corrections into the appropriate system, resolve pre-billing edits, and reconcile charge reports within 2 business days.
  • Work closely with other teams to proactively identify and resolve issues or variances in expected volumes.
  • Support department leadership in maintaining high charge data integrity and achieving strategic and operational objectives.

Requirements:

  • American Association of Healthcare Administrative Management (AAHAM) certification or Revenue Cycle Certification (RCC) is preferred.
  • High School Diploma or equivalent required; 3+ years of experience in a hospital or practice revenue cycle setting, working with insurance carriers and medical billing is preferred.
  • Bachelor's degree in Healthcare, Finance, Management, or a related field and 2+ years of experience in a hospital or practice revenue cycle setting, working with insurance carriers and medical billing is also acceptable.

About Us:

Pennsylvania 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, or status as a protected veteran.



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