Job Information
The Children's Hospital of Philadelphia Supervisor Patient Financial Services - Vendor Operations (Physician Billing and in Philadelphia, Pennsylvania
Reference #: 1012180 SHIFT:Day (United States of America)
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CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.
We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.
A Brief Overview Supervises Vendor (Extended Business Office) in the day-to-day operations of the Patient Financial Services Department. Provides strategic insight and recommendations on maximizing cash collections to Collections Manager and is responsible for reduction of A/R days though oversight of work assignments. Monitors quality and productivity performance measures. Collaborates with Patient Access, Registration, Case Management, HIM, Audit & Compliance and other areas of Patient Financial Services to manage the Collections process.
What you will do Supervises processes and projects assigned to various vendors, who function as an Extended Business Office Monitors vendor production and QA scores. Measures performance; addresses improvement opportunities with vendor. Conduct Quality Audits for vendor staff Lead vendor meetings and provide feedback regarding adaptation of workflows, payor policies and contracts and overall progress in resolving AR Provide accounts requiring escalation to the Managers; identify and report trends Collaborates with Patient Access, Registration, Case Management, HIM, Audit & Compliance and other areas of Patient Financial Services to ensure that revenue cycle flows efficiently and effectively. Performs other duties as assigned by the Director of Patient Financial Services Collections.
Education Qualifications High School Diploma / GED Required Bachelor's Degree Preferred
Experience Qualifications At least three (3) years Experience in a healthcare reimbursement environment Required and At least one (1) year supervisory experience Required Revenue cycle experience preferred
Skills and Abilities Requires understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, product pricing, network and provider contracting, and utilization management. Must possess strong understanding of insurance billing & reimbursement procedures. Excellent interpersonal & communication skills, and demonstrated organizational and leadership abilities. Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques. Ability to work independently towards specific goals and objectives and provide recommendations for improvement. Strong organizational and multi-tasking skills to apply toward high-priority assignments in order to meet established deadlines Proficient computing skills, specifically healthcare related billing platforms, MS Office Products. Reporting abilities through business objects, crystal reporting, etc. (EPIC experience preferred).
Licenses and Certifications Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA) - within 6 months - Required or Hospital Business Institute (HBI) Certification - Hospital Business Institute - wi hin 6 months - Required
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 be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.
Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.
EEO / VEVRAA Federal Contractor | Tobacco Statement
Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.