Billing Services Representative

Billing Services Representative

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?

Job Title: Billing Services Representative

Department: PMC Penn Center for Primary Care

Location: Penn Presbyterian Medical Center- 51 N 39th St

Hours: Mon-Fri office hours

Summary: Responsible for a broad range of complex billing activities including data entry, reconciliation of accounts, completing log sheets, accounts receivable functions, billing procedures and accurate record maintenance. Review and take action upon a variety of system-generated status and exception reports related to billing activity, payments, and collections. Train as back-up coverage for other billing areas within the department.

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

Education and Experience:

• H.S. Diploma/GED (Required)
• And 3+ years Financial-Customer Service experience (Required)

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 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.