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Billing Specialist

Job ID: 145170
Category: Accounting/Finance
Work Type: FT
Location: Philadelphia, PA, United States
Date Posted: Jul 21, 2022
Work Schedule: Variable

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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?

Summary:

  • The Billing Specialist provides billing and insurance knowledge, expertise and oversight in support of the department's effort to effectively manage its revenue cycle to ensure expedient claims processing and payment for services. The position performs a variety of functions including working in EPIC APM work queues to perform charge review, claim edits, rejections and department specific billing issues. The Billing Specialist serves as the billing liaison to the Admin staff across divisions along with the coding and business office departments. The Billing Specialist will respond to day-to-day billing inquiries and assistance with EPIC APM related questions regarding work queue management as well as any billing issues related to benefit coverage, financial responsibility and account follow up.

Responsibilities:

  • Manage EPIC APM work queues related to the following functions: charge review, claim edits, rejections and department specific billing issues.
  • Resolve benefits and billing issues for patients in conjunction with dept Billing Manager and operations staff.
  • Actively work self pay accounts
  • Review claims denials and address means of reducing denials
  • Perform analysis of complex patient accounts and work to get issues resolved
  • Help to ensure that timely billing and maximum collections occur by working closely with clinicians and operations staff
  • Actively work claims rejections

Credentials:

    Education or Equivalent Experience:

    • Associate of Arts or Science
    • H.S. Diploma/GED (Required)
    • Minimum of 3-5 years professional/technical billing experience preferred. Strong knowledge of medical billing experience working with third party insurance carriers.

    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.

    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.

       Current UPHS employees must apply HERE
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