Accounts Resolution Specialist I
1 week ago
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?
Job Title: Accounts Resolution Specialist I
Department: RAD-O-BRO Data Acct Recble
Location: Centre Square West Tower- 1500 Market Street
Hours: Full Time
Summary:
- The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to facilitate activities necessary to a successful resolution of accounts. This position will work out of assigned work queues handling claim edit work queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department intervention. Individuals will be responsible for investigating claim denials and underpayments by insurance carriers and appeal for payment or make appropriate adjustment. Exercising good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution.
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
Credentials:
Education or Equivalent Experience:
- H.S. Diploma/GED (Required)
- 3+ years Working in health care (professional) billing, health insurance or equivalent
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
We are an Equal Opportunity employer. Candidates are considered 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.
-
111016 Accounts Resolution Specialist II
5 days ago
Philadelphia, Pennsylvania, United States Penn Medicine, University of Pennsylvania Health System Full timeDescriptionPenn 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...
-
Technical Logistics Resolution Specialist
6 days ago
Philadelphia, Pennsylvania, United States Life Cycle Engineering Full timePosition Summary:The Logistics Resolution Specialist will plan, establish, and manage Integrated Logistics Support (ILS) actions to ensure accurate tracking, accountability, and lifecycle management of Government-furnished material, test equipment, and tooling. This position develops, documents, and implements standardized logistics processes, including...
-
Pennsylvania Debt Resolution Attorney
4 days ago
Philadelphia, Pennsylvania, United States Huron Law Group Full timeJob descriptionHuron Law Group PLLC is an established and rapidly growing national debt relief law firm focused on providing cost-effective legal representation to consumers. Our firm is currently seeking an enthusiastic and personable, remote, full-time attorney, licensed in the commonwealth of Pennsylvania, to manage debt resolution files and consult with...
-
Accounts Receivable Specialist
1 week ago
Philadelphia, Pennsylvania, United States II-VI Aerospace & Defense Full time $60,000 - $120,000 per yearJob DescriptionWe are seeking a detail-orientedAccounts Receivable Specialistto support our operations within the aerospace and defense industry. This role offers the opportunity to work in a highly specialized field, ensuring the accuracy and efficiency of financial transactions that are critical to our success. If you thrive in a fast-paced environment and...
-
Account Executive, F&I Dealer Products
2 weeks ago
Philadelphia, Pennsylvania, United States Ally Full time $115,000 per yearAlly and Your CareerAlly Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance...
-
Account Executive, F&I Dealer Products
2 days ago
Philadelphia, Pennsylvania, United States Ally Financial Full timeGeneral informationCareer areaSalesCountryUnited StatesStatePennsylvaniaCityPittsburghWork Location(s)PARemote?YesRef #21121Posted Date Working timeFull timeAlly and Your CareerAlly Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff We see our people as, well, people - with interests,...
-
Benefits Account Manager
2 weeks ago
Philadelphia, Pennsylvania, United States Patriot Growth Insurance Services and Partner Agencies Full time $60,000 - $80,000 per yearAbout Exude, A Division of Patriot Growth Insurance Services: Founded in 1996, Exude is a full-service employee benefits consulting firm with a mission to change the lives of people who are changing the world. We partner with purpose-driven organizations to help them fulfill their missions by supporting their people. That�s not just a tagline-it�s a...
-
Benefits Account Manager
4 days ago
Philadelphia, Pennsylvania, United States Patriot Growth Insurance Services, LLC Full timeAbout Exude, A Division of Patriot Growth Insurance Services:Founded in 1996, Exude is a full-service employee benefits consulting firm with a mission to change the lives of people who are changing the world. We partner with purpose-driven organizations to help them fulfill their missions by supporting their people. That's not just a tagline-it's a promise...
-
Sales Support Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States PEI-Genesis Full time $40,000 - $60,000 per year*Equal Opportunity Employer Veterans/Disabled*SUMMARY:The Strategic Sales Support Specialist will provide administrative-based support to the Strategic Sales Specialists and respond to customer/prospect queries. They will provide needed aspects of customer service including but not limited to, entering orders, maintaining backlog reports, updating customer's...
-
Billing Service Specialist
6 days ago
Philadelphia, Pennsylvania, United States Chubb External Full timeBilling Service SpecialistKey Objectives:Premium collections and resolution of disputes and premium differences to maintain open receivables to a current status and increase cash flow.Responsibilities:Monitor and pursue collections of unpaid receivables and take appropriate actions to resolve balances in a timely manner. Reconcile more challenging premium...