Accounts Resolution & Denials Specialist II

Penn Medicine; Radnor (Delaware County); On-site; USD 60,000 - 75,000; Full time

Job summary

Penn Medicine in Radnor, PA seeks an Accounts Resolution Specialist II to manage patient accounts transferred from the PBO. The role focuses on investigating claim edits, following up on denials and underpayments, and providing insight into denial trends to improve reprocessing and front-end edits.

You will act as a subject matter expert, escalate issues when needed, and may assist with training and mentoring staff in the billing group within CPUP.

Qualifications

• H.S. Diploma/GED (Required)
• 5+ years' work experience in Patient Access, Revenue Cycle, or Patient Accounting/Billing (Required)

Responsibilities

• Serves as first point of contact for addressing more complex account issues, patient concerns, and billing and insurance questions
• Utilize and work the self-pay report, denials report, and AR report
• Responsible for patient account research in relation to working accounts within the claim edit work queue and follow-up work queue
• Identify untimely accounts and performs 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
• Meets or exceeds established performance targets (productivity and quality) established by the Supervisor of Billing

Education

H.S. Diploma/GED

Job description

Penn Medicine in Radnor, PA seeks an Accounts Resolution Specialist II to manage patient accounts transferred from the PBO. The role focuses on investigating claim edits, following up on denials and underpayments, and providing insight into denial trends to improve reprocessing and front-end edits.

You will act as a subject matter expert, escalate issues when needed, and may assist with training and mentoring staff in the billing group within CPUP.