Remote Accounts Resolution Specialist I Healthcare Billing

Penn Medicine; Philadelphia (Philadelphia County); Remote; USD 42,000 - 64,000; Full time

Job summary

Penn Medicine is seeking an Accounts Resolution Specialist I to support the Rad-O-Bro Data Acct Receivable team. This fully remote role handles claim edits, denials and follow-ups, researching accounts and escalating trends to improve payment outcomes.

The ideal candidate has a high school diploma or GED with 3+ years in healthcare billing, strong attention to detail and solid payer knowledge to secure timely reimbursements.

Qualifications

• H.S. Diploma or GED required and 3+ years of healthcare billing experience.
• Experience researching patient accounts and resolving denials is preferred.
• Strong attention to detail and understanding of payer guidelines.

Responsibilities

• Investigate claim denials and underpayments by insurance carriers.
• Appeal for payment or adjust accounts to achieve first pass resolution.
• Research patient accounts in claim edit and follow-up queues.
• Write-offs in line with policy guidelines and respond to inquiries.

Skills

Accounts research

Denials management

Customer service

Billing inquiries

Education

High School Diploma

GED

Healthcare billing experience

Job description

Penn Medicine is seeking an Accounts Resolution Specialist I to support the Rad-O-Bro Data Acct Receivable team. This fully remote role handles claim edits, denials and follow-ups, researching accounts and escalating trends to improve payment outcomes.

The ideal candidate has a high school diploma or GED with 3+ years in healthcare billing, strong attention to detail and solid payer knowledge to secure timely reimbursements.