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Accounts Resolution Specialist I

Penn Medicine, University of Pennsylvania Health System

Penn Medicine is dedicated to its mission of providing excellent patient care, conducting innovative research, and educating future leaders in medicine. This role supports revenue cycle operations by resolving accounts, researching claim edits, working follow-up denial queues, and helping ensure timely and accurate reimbursement.

The position is part of the Dermatology Admin team at CPUP, located at 3535 Market Street in Philadelphia, PA, and follows a hybrid schedule with 1 day onsite and 4 days remote/work from home.

Key responsibilities include investigating claim denials and underpayments, appealing for payment or making appropriate adjustments, escalating denial trends or root causes, performing patient account research, handling write-offs according to policy, answering patient and front desk inquiries, and meeting productivity and quality targets.

Requirements & Qualifications

Required

  • High school diploma or GED
  • 3+ years of experience in healthcare professional billing, health insurance, or an equivalent field
  • Ability to work assigned claim edit and follow-up work queues
  • Strong judgment in identifying denial trends and escalating root causes
  • Knowledge of Medicare, Medicaid, and other insurance billing guidelines
  • Ability to maintain productivity and quality standards
Benefits & Perks

Penn Medicine offers a comprehensive compensation and benefits program, including health and wellness benefits and prepaid tuition assistance.

Location

Philadelphia, Pennsylvania, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

3 months ago

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