Penn Medicine is dedicated to providing the highest level of care to patients, conducting innovative research, and educating future leaders in medicine.
Entity: Clinical Practices of the University of Pennsylvania
Department: Emergency Department
Location: Hospital of the University of Pennsylvania, 3400 Spruce St
Hours: Full Time
The Revenue Cycle Specialist provides billing knowledge, expertise, and oversight in support of the department’s effort to effectively manage revenue cycle operations and ensure expedient claims processing and payment for services. The role performs charge review work queue activities, resolves edits and rejections, addresses department-specific billing issues, and serves as the billing liaison to the CFA and CBO. The position also responds to daily billing inquiries, assists with EPIC APM work queue management, and supports billing issues related to benefit coverage, financial responsibility, and account follow-up.
This role supports financial operations, regulatory compliance, change management, and health system information systems including Epic, SAP Business Objects, and payer electronic verification systems.
Qualifications
- High school diploma or GED required
- 4+ years of experience in accounting or financial reporting; healthcare experience preferred
- Complete understanding of revenue cycle processes, including edits and rejections
- Knowledge of emergency medicine billing, including professional and technical components
- Effective expertise in accounts receivable management
- Familiarity with correct coding guidelines, insurance carrier policies, and payer websites
- Ability to resolve billing issues related to registration, documentation, timely filing, appeals, duplicate claims, benefits, precertification/authorization/referral, eligibility/enrollment, Medicare, and other billing edits and rejections
- Ability to develop reporting and assist with financial and statistical analysis
- Strong collaboration skills with Finance, Managed Care, and departmental leadership
- Ability to adapt to process changes and support training and operations review
Benefits
- Comprehensive compensation and benefits program
- Prepaid tuition assistance program
- Health and well-being support for employees
Location
Philadelphia, Pennsylvania, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago