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Accounts Resolution Specialist
  • Job ID: 87875
  • Job Category: Clerical/Administrative
  • Specialty Area: Clerical/Administrative
  • Primary Shift: Day
  • Work Schedule: Variable to Department Needs
  • Penn Medicine Entity: Clinical Practices of the University of Pennsylvania
  • Location: Philadelphia, PA
  • Address: 3400 Spruce St
  • Education Required: Per Position Description
  • Experience Required: Per Position Description
  • Employment Type: Full-Time Regular

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?

Position Description:
Account Resolution Specialist I in the Anesthesia and Critical Care Deaprtment.

The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to facilitate activities
necessary to a successful resolution of accounts. This position will work out of assigned work queues handling claim edit work
queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department
intervention. Individuals will be responsible for investigating claim denials and underpayments by insurance carriers and appeal
for payment or make appropriate adjustment. Exercising good judgement in escalating 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.

Minimum Requirements:
H.S. Diploma/GED and 3+ years working in health care (professional) billing, health insurance or equivalent required.

Additional Information:

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Penn Medicine

Live Your Life's Work

EOE/AA, Minority/Female/Disabled/Veteran

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.