Senior Accounts Resolution Specialist – Healthcare Billing

Penn Medicine, University of Pennsylvania Health System; Radnor (Delaware County); On-site; USD 52,000 - 78,000; Full time

Job summary

Penn Medicine, part of the University of Pennsylvania Health System, is seeking an Accounts Resolution Specialist II in the Oral Surgery department at Radnor, PA. This full-time role focuses on resolving patient accounts, investigating claim edits, denials and underpayments to obtain timely payment.

Reporting to the Supervisor of Billing, you will act as a subject matter expert on denial trends and may assist with training staff to uphold high billing standards and process improvements.

Qualifications

• H.S. Diploma/GED is 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, part of the University of Pennsylvania Health System, is seeking an Accounts Resolution Specialist II in the Oral Surgery department at Radnor, PA. This full-time role focuses on resolving patient accounts, investigating claim edits, denials and underpayments to obtain timely payment.

Reporting to the Supervisor of Billing, you will act as a subject matter expert on denial trends and may assist with training staff to uphold high billing standards and process improvements.