Accounts Receivable Specialist- Physician Billing
About The Position
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.
Requirements
- High School Diploma / GED Required
- 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
- 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)
Nice To Haves
- Bachelor's Degree Preferred
- Experience with Epic system (Preferred proficiency)
Responsibilities
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
