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Penn Medicine, University of Pennsylvania Health System · 17 hours ago

Billing Services Representative

Philadelphia, PA

Full-time

Onsite

Mid Level

3+ years exp

Penn Medicine is dedicated to providing high-quality patient care, conducting innovative research, and educating future leaders in medicine. The Billing Services Representative is responsible for a broad range of complex billing activities, including data entry, account reconciliation, and maintaining accurate records, while also training as backup coverage for other billing areas within the department.

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Responsibilities

Maintains up to date knowledge of insurance requirements pertinent to patient services and billing procedures

Updates information in APM, including, but not limited to: demographic and insurance, referral, and pre-auth information according to UPHS protocol

Understands how scheduling, appointment generation effects the charge process

Keeps manager aware of potential issues / problems as they arise

Must be able to cover duties of PSR when required and FSR

Comprehends insurance and registration information as it relates to various plans and benefits

Appropriately enters demographic and insurance information into APM

Understands the revenue cycle, including, but not limited to edits, rejections, and department specific billing issues

Posts charges / payments accurately and timely

Prints and works the missing charge report. Alerts manager to issues

Proactively identifies and works practice edits

Communicates front end issues which may be impacting the revenue process to management

Understands the specifics of in-patient / out-patient billing and procedural coding

Understands and works the charge work queue in accordance with CPUP protocol

Utilizes billing reports to maximize revenue opportunities in the department

Serves as in-house expert for common department coding issues

Covers for Financial Track PSR & FSR as needed

Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

Other duties as assigned to support the unit, department, entity, and health system organization

Qualification

Billing proceduresInsurance knowledgeRevenue cycle managementData entryFinancial-Customer Service

Required

H.S. Diploma/GED (Required)

3+ years Financial-Customer Service experience (Required)

Benefits

Prepaid tuition assistance programs

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765

Philadelphia, Pennsylvania, USA

10001+ employees