Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Summary:
- Position Summary: Provides oversight to the account resolution teams and manage the collection of accounts receivable from insurance companies to meet established performance requirements.
- Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:
- Establishes and monitors productivity and quality measurements for account resolution team staff.
- Identifies account resolution trends and reports information to Manager in a timely manner. Communicates issues, productivity measurements, payor regulations, accounting issues and any other pertinent information to upper management.
- Works with payor representatives to resolve payor issues in a timely manner.
- Works with management team to support front end revenue cycle education.
- Provides monthly variance report for all accounts receivable outstanding greater than 90 days.
- Responsible for achieving established appeal success rate, net collection goals and days in AR goals set by payor.
- Evaluates current processes and procedures and makes practical suggestions recommendations for improvement or compliance.
- Communicates all LG Health and policies, values, mission and vision with clarity and completeness. Communicates effectively with all staff, management and other customers in a professional manner.
- Provides orientation, education, and training for new employees as needed. Provides and implements on-going continuing education and training for existing staff as needed. Plays an active role in the growth and development of staff.
- Develops processes, procedures and learning tools for Account Resolution staff.
- Serves as a role model for staff for all Every Time Behaviors and Values. Promotes teamwork and a positive work environment.
- In collaboration with Manager, completes annual performance evaluations for assigned staff. Coordinates coaching and or disciplinary action in accordance with LG Health and practice policies.
- In collaboration with Manager, interviews and selects candidates for vacant positions.
- Conducts routine staff meetings for assigned teams to communicate new information, procedures and trends.
- Serves as an active member of the PBS leadership team to address revenue cycle issues.
- The following duties are considered secondary to the primary duties listed above:
- Assists staff with duties as required.
- Assist with other special projects as requested.
- Other duties as assigned by Manager.
Responsibilities:
Minimum Required Qualifications:
- High School Diploma or equivalent
- Two 2 years experience in hospital or physician billing and collections.
- Strong written and verbal communication skills.
- Strong interpersonal skills.
- Knowledge of physician revenue cycle process, including working with insurance companies, EOBs, CMS 1500 forms, appeals, etc.
Preferred Qualifications: - Associates degree
- Two 2 to three 3 years management experience preferably in a health care environment.
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
