Accounts Resolution Specialist I - Neurology Billing

Penn Medicine; Philadelphia (Philadelphia County); On-site; USD 32,000 - 52,000; Part time

Job summary

The Account Resolution Specialist I at Penn Medicine reports to the Supervisor of Billing and focuses on resolving patient accounts through claim edits and denials follow-up. You will investigate denials, perform timely write-offs per policy, and escalate trends to reduce future denials and expedite reprocessing.

You will handle patient inquiries, ensure compliance with Medicare/Medicaid guidelines, and contribute to a high-standard revenue cycle operation in a collaborative,

Qualifications

• 3+ years working in health care billing or related fields.
• H.S. Diploma/GED required.
• Experience handling claim denials and insurance follow-up preferred.

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

Skills

Billing knowledge

Denials management

Healthcare experience

Customer service

Attention to detail

Education

H.S. Diploma/GED

Job description

The Account Resolution Specialist I at Penn Medicine reports to the Supervisor of Billing and focuses on resolving patient accounts through claim edits and denials follow-up. You will investigate denials, perform timely write-offs per policy, and escalate trends to reduce future denials and expedite reprocessing.

You will handle patient inquiries, ensure compliance with Medicare/Medicaid guidelines, and contribute to a high-standard revenue cycle operation in a collaborative,