Accounts Receivable Specialist- Physician Billing

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Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

The Specialist plays a key role in driving operational excellence by leading high-impact projects and serving as a trusted Subject Matter Expert within the team. In this dynamic role, the Specialist will take ownership of complex issues, investigate denials, conduct A/R reconsiderations and appeals, analyze challenging scenarios, identify trends, and strengthen cross-functional partnerships that support efficient and accurate revenue cycle operations. The Specialist also maintains essential internal controls, oversees specialized functions and work queues, and contributes expertise to department-wide initiatives and special projects. Daily responsibilities vary based on team needs, offering a balanced mix of structure and variety.

The ideal candidate brings strong A/R and coding knowledge-especially in A/R reconsiderations, appeals, and deep-dive scenario analysis. They excel at troubleshooting, trend identification, and converting data insights into actionable recommendations. Proficiency and comfort with daily Excel use is strongly preferred. This individual is organized, responsive, and able to manage multiple stakeholder requests and deadlines while driving projects to timely completion and continuously seeking efficiency improvements.

Work Schedule & Location

• Monday through Friday

• Flexible start time between 7:00-9:00 AM for an 8-hour workday

• Hybrid schedule

  • First 90 days: Required two days per week in the office

  • After 90 days: Required one day per week in the office

What you will do

• Acts as subject matter expert in their department, manages projects to timely completion, troubleshoots issues and maintains accurate and compliant workflows.
• Holds inter-departmental relationships within PFS and outside of PFS; manages assigned workflows and work queues associated with these relationships and is the primary communicator with the department for any improvement opportunities.
• Monitors work queues assigned as their responsibility, meeting established production and quality standards for the assigned tasks.
• Specific focus is project oriented. Identify trends, training opportunities, denial prevention initiatives and maintaining internal controls for the department.
• Performs workflow analysis, documents workflows, and testing planning in support of departments strategic and operational objectives.
• Stays current on regulations and industry standard trends to ensure CHOP is compliant.
• Responsible for creating presentation and data analytics to drive change and improvements.
• Documents processes to help keep revenue cycle stakeholders informed and identify optimization opportunities.
• Other duties as assigned.

Education Qualifications

• High School Diploma / GED Required
• Bachelor's Degree Preferred

Experience Qualifications

• At least three (3) years of work experience in healthcare billing or collections environment or other related role. Required
• Demonstrated success in resolution of patient accounts; demonstrated ability to identify trends and complete assignments timely Required

Skills and Abilities

• Strong math aptitude (Required proficiency)
• Excellent organizational skills. (Required proficiency)
• Clear and concise decision making skills (Required proficiency)
• Leadership skills (Required proficiency)
• Detail oriented (Required proficiency)
• String interpersonal skills (Required proficiency)
• Excellent writing and oral communication skills (Required proficiency)
• Ability to work independently; results oriented (Required proficiency)
• Ability to handle confidential matters. (Required proficiency)
• Flexibility to work overtime as needed/required (Required proficiency)
• Experience with personal computers including Excel (Required proficiency)
• Experience with Epic system (Preferred proficiency)

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

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SALARY RANGE:

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

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At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.