Hospital Billing Processor

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.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Hospital Billing Processor

Job Summary:

The Hospital Billing Processor will:

• 1. Process unvalidated claims as provided and assigned for all UPHS Health System facilities in a timely manner.
• 2. Follow all documented and established procedures related to claims processing.
• 3. Respond to EPIC & Claim Agent Work list &/or requests following established procedures.
• 4. Comment on all accounts with intelligible verbiage conducive to effective collection activity.
• 5. Demonstrate personal ownership for accurate and timely completion of duties, as assigned.
• 6. Understand that attention to detail and following departmental policies is key to ensure billing compliance.
• 7. Be recognized as a subject matter expert (SME) in the areas of billing policies and procedures.

Responsibilities:

• Process claims in billing claim queues as assigned using established procedures. Strive to work all claims in the assigned queue by week end.
• Correct held claims in claim queues using established procedures.
• Process secondary payor claims using established procedures.
• Communicate issues that impact the processing of claims to the Billing Management Team.
• Adhere to the Quality Review and Billing Productivity standards established for each unit or individual, recognizing that approved special projects will be calculated into the Productivity standards.
• Ability to read, understand and follow oral and written instructions.
• Possess excellent organizational skills and the ability to communicate to peers and all levels of the organization in a friendly and respectful manner.
• Continually look for ways to improve the quality and/or efficiency of policies and procedures that affect the Revenue Cycle.
• 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.

Credentials:

• American Association of Healthcare Administrative Management (Preferred).

Education or Equivalent Experience:

• High School Diploma/ GED (Required).
• 2 years of prior work experience that demonstrates the following (Required):
• 1. Problem-solving and organizational abilities.
• 2. Multitask and manage time effectively.
• 3. Knowledge of working in system software, utility software, and application software applications.
• Experience in handling billing and account receivables in a similar set up or related field (Preferred).

Skills & Abilities:

• Demonstrated customer service skills.
• Ability to utilize computer software.
• Good communication skills required both and written.
• Must be able to accept responsibility and work under pressure.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

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.