Reference #: 1011812
SHIFT:Day (United States of America)Seeking Breakthrough MakersChildren'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's Commitment to Diversity, Equity, and InclusionCHOP 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 Collections or Credit Resolution staff in the day-to-day operations of the Patient Financial Services Department. Provides strategic insight and recommendations on maximizing cash collections or minimizing credit balances to 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 Credits or Collection process.What you will do
Supervises staff responsible for various patient and third-party insurance review.
Monitors staff production and QA scores. Measures performance; addresses improvement opportunities with staff.
Support Managers with payor communications including minutes, distribution to staff, conducts in-services and training as needed.
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 their Manager.Education Qualifications
High School Diploma / GED Required
Bachelor's Degree PreferredExperience Qualifications
At least three (3) years experience in a healthcare reimbursement environment required
At least one (1) year Supervisory experience required
Experience in Hospital Collections preferredSkills 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 - within 6 months - RequiredTo carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a con ition 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 StatementChildren'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.