New

Sr. AR Collections Representative

TEKsystems
$25.00 - $35.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Pennsylvania, Philadelphia
Jul 26, 2025
Shift: Monday through Friday from 8AM - 4:30PM Type: Onsite Description This position will start with cleanup work, as the Home Health side of billing recently experienced a 30-day system outage. They will begin by handling a significant amount of manual work, including data entry and QA support to review billing information. * Will start with recovering data from the system outage. * Processing manual payments. * Once system is back up and running the clinical team will be flooding them with charges, edits, and modifiers. * CHOP is on EPIC but the Home Health team is on HDMS. Responsible for the timely resolution of patient accounts. Assigned duties include researching account balances and following up with collection calls to insurers and parents. Reviewing claims with no response. Reviewing denied claims or underpaid claims and resolving the denial and filing appeals, as necessary. Ensuring all information about collection activity is fully and accurately documented in the patient accounting system. Works to identify payment and denial trends for timely resolution. Works to identify internal and external causes of denials for timely resolution. Ability to work independently or as a member of a project team. This position could be assigned to hospital, professional, or home care claims. * Submits timely, accurate claims to insurance carriers according to insurance payor guidelines through established methods and procedures using current available technology. * Resolve patient insurance balances by analyzing denials and using critical thinking skills and knowledge of payer requirements to determine the steps needed to obtain payment. Work in either No Pay No Response, Denial work queues, or both. * Based on payer processes, utilize payer portals, paper/electronic remits, and/or place calls to the payer to understand and resolve denials. * Perform adjustments as needed. * Identifying third-party payor response trending and escalation to the management team as deemed necessary. * Reviewing data sets CPT-codes, IDC-10 codes, HCPCS codes, coordination of benefits, registration discrepancies, third-party payer rules, and payer contracts. * Prioritize assigned work based on department needs and direction from the leadership team. * Follow workflows to route accounts to other departments (Case Management, Medical Records, Credit Resolution, Billing, Abstraction, Clinical Teams, Coding, etc.) to address denials. * Advise supervisor of contractual issues as discovered. Additional Skills & Qualifications * Working through clearing houses (Change), experience working through Payor portals. * Heavy Excel responsibilities. * Positive attitude and strong aptitude. * Patience and ability to be flexible with their responsibilities with a cleanup project. * Receiving cash to post. Pay and Benefits The pay range for this position is $25.00 - $35.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Philadelphia,PA. Application Deadline This position is anticipated to close on Jul 31, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.