Senior Collections Associate

SHIFT: Day (United States of America) 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 Senior Collector – Supporting CHOP’s Mission Through Revenue Excellence As a Senior Collector at Children's Hospital of Philadelphia (CHOP), you’ll play a crucial role in ensuring timely and accurate reimbursement for inpatient, outpatient, and observation services—directly supporting the hospital’s mission to provide exceptional care to children and families.

You’ll analyze denied claims, lead appeals, and verify patient coverage to optimize revenue while helping enhance processes that support both financial health and patient experience. Working closely with cross-functional teams across the revenue cycle, you’ll gain a holistic understanding of the claim lifecycle and contribute to projects that strengthen our ability to fund world-class pediatric care. If you are detail-oriented, proactive, and passionate about contributing to CHOP’s mission through your financial expertise, this is the opportunity for you. Logistics: The team is hybrid and you will work 4 days at home and once a week at the Cira Center @ 2929 Arch Street, Philadelphia.

Core work hours are 8am-5pm, Monday-Friday. What you will do Claims Submission and Denial Resolution: 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.

Place phone calls, sends email or written communication to families to resolve denials that require intervention from the guarantor. Files appeals on behalf of the patient to resolve denials. Reviews and acts on correspondence for assigned accounts. Gather Medical Records, using ROI, to assist in resolving denials as needed. Account and Workflow…

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