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Accounts Receivable Specialist (Physician Billing - AR)


Malvern, Pennsylvania


Accounts Receivable Specialist (Physician Billing - AR) Job Opening in Malvern, Pennsylvania - Accounts Receivable Specialist (Physician Billing)
A Promising New Day
A BOLD NEW DIRECTION FOR YOUR CAREER.
Set out on a journey of professional discovery with a newly formed team backed by the expansive resources of an industry leader. Use your skills, experience, and talent to take us all in exciting new directions with Independence Physician Management (IPM) , as we open our new Center for Ongoing Revenue Cycle Excellence (CORE) in Malvern, Pennsylvania.
THE DAWN OF A DYNAMIC OPPORTUNITY.
Explore your potential with IPM , a subsidiary of UHS of Delaware, Inc. , one of the industry?s largest and best respected hospital-management corporations. We offer convenient managed services that include consulting, billing and collections, credentialing, audit services, and staffing assistance.
Do you share our dedication to service excellence?
Summary of job details:
The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for denials correcting and reprocessing claims for payment in a timely manner. Meets or exceeds established performance targets (productivity and quality) established by the A/R Supervisor. Initiates and follows-up on appeals recognizing the payer defined aging criteria. Exercises good judgment in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate first pass resolution. Identifies uncollectible accounts and performs accurate and timely write-offs (e.g. no authorization) adhering to IPM CBO policy guidelines. Demonstrates the ability to be an effective team player. Upholds "best practices" in day to day processes and work flow standardization to drive maximum efficiencies across the team.
Job requirements:
Education: High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred.
Work experience: Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.
Knowledge: Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes. Understanding of the revenue cycle and how the various components work together preferred.
Skills: Excellent organization skills, attention to detail, research and problem-solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Strong computer literacy skills including proficiency in Microsoft Office.
Equipment Operated: Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable.
To fulfill your vast potential please send your resume today!
Career Rewards
We reward excellence with competitive compensation and other career advantages. You may be eligible to choose from a comprehensive list of benefits to get those that best meet the needs of you and your family, including medical, dental, and vision plans, insurance and income protection, retirement and savings plans, and flexible spending accounts.
ABOUT
Independence Physician Management (IPM) was formed in 2012 as a separate and distinct physician practice management unit of Universal Health Services (UHS) . Operating as a subsidiary of UHS , with more than 140 locations nationwide, IPM is dedicated to the support and service of acute care facilities, with limited services to behavioral health. IPM ?s focus is on the acquisition, employment and recruitment of independent physicians. IPM provides expertise to support physician management and alignment models; provides leadership to physician practices relative to industry trends and business models; provides oversight for efficient operations to ensure quality care at a reasonable cost, and actively works to position organizations to navigate the dynamic health care environment.
It is the policy of Independence Physician Management to provide equal employment opportunity to all employees, prospective and current. IPM is committed to complying with all federal, state, and local laws and regulations relating to equal employment and non-discrimination matters for all protected classes of employees including race, religion, color, gender, sexual orientation, age, national origin, genetic information, ancestry, disability, pregnancy, marital status, and military status.
Job Type: Full-time
Job Location:
Malvern, PA
Required education:
High school or equivalent
Required experience:
physicians billing: 3 years
mainframe billing software (Cerner, Epic, IDX): 1 year

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