1+ months

120009 1Insurance Rep

Penn Medicine
Philadelphia, PA 19104
Investigate claim denials and underpayments by insurance carriers and appeal for payment or make appropriate adjustment. Contact carriers regarding open balances to obtain payment. Identify payment trends, contract discrepancies and coding issues in order to maximize revenue and reduce Days in AR statistics. Responsible for both professional and technical revenue of each claim worked. Provide feedback to operations in order to improve processes and prevent future denials. Research and provide information to central billing offices to ensure appropriate claims processing, including revision of authorizations, registration data, or other information as needed. Conduct pre-service review of accounts to financially secure and reduce denials. Represent the Dept. of Radiology to carriers, physicians offices and other UPHS entities in a professional, engaging manner.

College-level coursework in business, accounting, or health care administration strongly preferred. Demonstrated coursework in Medical Terminology desirable. Minimum 4-6 years of progressively responsible positions in physician billing operations and accounts receivable management. Specific knowledge of third party billing and claims processing procedures is ideal. Experience in the insurance industry or in an academic medical center highly preferred, as well as general knowledge of insurance company procedures and the dynamics of health care systems. Experience with spreadsheet and word processing software preferred.\n\nSuperior initiative, judgment, and creative ability needed to fulfill responsibilities. Proven analytical and organizational ability required as well the ability to work at a high level of productivity with minimal\nsupervision. Must be able to meet scheduled deadlines and perform a variety of duties with frequent interruptions. Must exhibit flexibility and be willing to assume responsibility for successfully completing assignments. Position requires an individual who is cooperative, aggressive, articulate, mature and highly organized, with good command of the English language.

Posted: 2018-11-08 Expires: 2019-01-06

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120009 1Insurance Rep

Penn Medicine
Philadelphia, PA 19104

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