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Manager Patient Financial Services - Collections

Philadelphia, PA, US, 19103

Location: LOC_1300_MKT-Wanamaker Building 

Req ID: 117526

Shift: Days

Employment Status: Regular - Full Time 

Job Summary

Responsible for oversight of the patient financial services collection functions for both the hospital and CHOP physicians.  Stays informed on current payer contracts, regulation changes, and other sources that impact reimbursement.  Provide leadership in identifying and resolving payor collection issues.  Collaborates with Patient Access Services and Revenue Integrity leadership to assure smooth end-to-end processes, resulting in strong financial performance.

Job Responsibilities

  • Provide leadership and strategic direction for collection functions.
  • Monitors performance against cash targets and develops strategies to achieve goal
  • Develop relationships with payor representatives to help speed resolution to adjudication problems.  Follow up with third party payors includes addressing payment delays, under payments and contract set ups.
  • Collaborates with Patient Access, Registration, Case Management, HIM, Audit & Compliance, Specialty Centers, Family Health Coverage Program 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.

Required Licenses, Certifications, Registrations

Institutional HBI Certified Patient Financial Services Certification or CRCR from HFM within six (6) months of placement into position.

Required Education and Experience

Required Education:  Bachelor’s degree

 

Required Experience:

  • At least five (5) years of work experience in a healthcare billing and Revenue Cycle environment
  • At least three (3) years of supervisory experience

Additional Technical Requirements

  • 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).

All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products.

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.

VEVRAA Federal Contractor/Seeking priority referrals for protected veterans.  Please contact our hiring official with any referrals or questions.

CHOP Careers Contact 

Talent Acquisition

2716 South Street, 6th Floor

Philadelphia, PA 19146 

 

 

CHOP EMPLOYEE? SEARCH FOR JOBS HERE.


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