The Penn Medicine Careers Page includes open opportunities from Penn Medicine Lancaster General Health.
If you want to view LG Health job openings posted before December 9th, 2024, please visit http://www.lghealthjobs.org.
Job ID: 240270
Category: Clerical/Administrative
Work Type: FT
Location: Radnor, PA, United States
Work Schedule: Fulltime, Hybrid
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.Entity: Clinical Practices of the University of Pennsylvania (CPUP)
Department: Oral Surgery NE
Location: Penn Medicine Radnor- 145 King of Prussia Rd
Hours: Full-Time; Hybrid
Summary: 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.
Responsibilities:
Education or Equivalent Experience:
Skills and Abilities:
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.