- The Accounts Resolution Specialist II reports to the Supervisor of Billing; this individual specializes in the resolution of patient accounts transferred from the PBO. This position will investigate and follow up on claim edits and work denials and underpayments by insurance carriers regarding open balance to obtain payment. Act as a subject matter expert escalated issues and provide insight on 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. They may assist with training and mentoring other staff members according to the organization's training program.
- 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
- H.S. Diploma/GED (Required)
- And 5+ years Work experience in Patient Access, Revenue Cycle, or Patient Accounting/Billing
-
Issue Resolution Specialist
5 days ago
Independence Blue Cross Philadelphia, United StatesIndependence Blue Cross is a qualified health plan issuer operating in the State Based Exchange Marketplace and is required to resolve Health Insurance State Based Exchange (SBE) tickets within regulated timeframes. The Issue Resolution Specialist is the frontline resource that r ...
-
Accounts Resolution Specialist I
5 days ago
Penn Medicine Philadelphia, United States**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 w ...
-
Accounts Resolution Specialist I
3 weeks ago
Pennsylvania Medicine Philadelphia, United StatesPenn 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, ...
-
Accounts Resolution Specialist II
3 weeks ago
Pennsylvania Medicine Philadelphia, United StatesPenn 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, ...
-
Issue Resolution Specialist
3 weeks ago
Independence Blue Cross Philadelphia, United StatesOur organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable wh ...
-
A/r Support Resolution Specialist
1 week ago
HBCS New Castle, United StatesAs an **A/R Support Specialist**, you will research general financial inquiries and processes all inbound and outbound correspondence. You will also make updates to client systems with all necessary demographic, contract, and prelist related information. · **Responsibilities**: · ...
-
Resolutions Specialist
3 weeks ago
Adecco US, Inc. Trenton, United StatesAdecco is hiring for a Resolutions Specialist position in Princeton, NJ . Weekly pay starting at $19.00 per hour and competitive benefits with options such as medical, dental, vision, and 401(k). After you apply, you will have a chance to schedule an immediate interview · JOB DE ...
-
Resolutions Specialist
3 weeks ago
Adecco Us Inc. Trenton, United StatesAdecco is hiring for a Resolutions Specialist position in Princeton, NJ . Weekly pay starting at $19.00 per hour and competitive benefits with options such as medical, dental, vision, and 401(k). After you apply, you will have a chance to schedule an immediate interviewJOB DESCRI ...
-
Claims Resolution Specialist
3 weeks ago
NJM Insurance Group Hammonton, United States Full timeJob Description · The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. The Claim Resolution Spe ...
-
A/R Support Resolution Specialist
2 weeks ago
Hospital Billing & Collection Services New Castle, United StatesAs an A/R Support Specialist, you will research general financial inquiries and processes all inbound and outbound correspondence. You will also make updates to client systems with all necessary demographic, contract, and prelist related information. · Responsibilities: · * Condu ...
-
Member Services Intake Specialist
2 weeks ago
Imagine360 Philadelphia, United States**Imagine360 is currently seeking a remote Member Services Intake Specialist to join our team** The Intake Specialist is the first point of contact for members who need assistance with the initial file setup, have inquiries or require assistance with their balance bill submission ...
-
Case Manager
2 weeks ago
Intealth Philadelphia, United StatesWe are looking to hire a full-time **Case Manager and Client Support Specialist** within our EPIC Client Services department at Intealth. The EPIC Case Manager & Client Support Specialist serves as a liaison between ECFMG and assigned Clients utilizing ECFMG's primary source veri ...
-
Part-time Box Office
2 weeks ago
The Barnes Foundation Philadelphia, United States Part time**The Barnes Foundation** · **Part-Time Box Office & Call Center Specialist ($17.50/hr - 3days/wk)** · **Department**:Sales · **Position Reports To**:Box Office and Call Center Manager · **Exempt/Non**:Non-Exempt · **Primary Function**:As the first point of contact with guests to ...
-
Box Office
2 weeks ago
The Barnes Foundation Philadelphia, United States**The Barnes Foundation** · **Part-Time Box Office & Call Center Specialist ($17.50/hr - 3days/wk)** · **Department**:Sales · **Position Reports To**:Box Office and Call Center Manager · **Exempt/Non**:Non-Exempt · **Primary Function**:As the first point of contact with guests to ...
-
Community Engagement Specialist
3 weeks ago
Graduate Philadelphia Philadelphia, United States: · Job Title: Community Engagement Specialist (North10) · Location: North North 10th Street, Philadelphia, PA 19140 · Department: Programming and Innovation · FLSA Status: Full Time Exempt · **General Description** · The Community Engagement Specialist maintains all community ou ...
-
Accounts Receivable Specialist
2 weeks ago
Public Health Management Corporation Philadelphia, United States**JOB DESCRIPTION**: · Uphold the mission of the organization by evaluating, reviewing, and collecting on account receivable claims for the Network. The AR Specialist will partner with the billing and financial management staff to ensure the timely and accurate collection of rece ...
-
Certified Peer Specialist- Supervisor
2 weeks ago
INGLIS COMMUNITY SERVICES Philadelphia, United States**Exciting Opportunity**: Certified Peer Specialist · - Supervisor · **Location**: Philadelphia, Pennsylvania · Inglis enables people with disabilities - and those who care for them - to achieve their goals and live life to the fullest. · It is essential that all duties are perfo ...
-
Computer Repair Specialist
2 weeks ago
Worldgate, llc Philadelphia, United States**JOB SUMMARY**: · The Technical Service Production Support Specialist will work on-site at a support center fixing computer hardware devices such as Chromebook computers. This position will coordinate with the technical support center (TSC) staff to ensure computer devices are o ...
-
Technical Support Specialist
2 weeks ago
Worldgate, llc Philadelphia, United States**Summary**: · The Hardware Technical Service Support Specialist will be responsible for responding to calls through an established hotline and troubleshooting Time Clock Hardware. This position will also travel to customer sites throughout the city of Philadelphia to address and ...
-
Call Center Support Team Member
2 weeks ago
Novick Corporation Philadelphia, United States**Call Center Support Team Member** · **Company Overview**: · Novick Corporation is a food distribution company that specializes in servicing foodservice clients in childcare centers and educational settings. Members of the team are USDA and CACFP specialists, and work with our c ...
Accounts Resolution Specialist II - Philadelphia, United States - Pennsylvania Medicine
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 II
Department: OTO Admin
Entity: CPUP
Location: Hospital of the University of Pennsylvania Spruce St
Hours: Full time regular
Summary:
Live Your Life's Work
We are an Equal Opportunity and Affirmative Action 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.