Mgr Revenue Cycle

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Current UPHS-paid Employees must CLICK HERE to apply on the Internal job board

Mgr Revenue Cycle

Job ID: 328278

Category: Other

Work Type: FT

Location: Philadelphia, PA, United States

Work Schedule: Full Time

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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?

Position: Manager Revenue Cycle

Entity: Clinical Practices of University of Pennsylvania

Department: OB-GYN Admin

Location: 3400 Spruce St

Hours: Full Time

Summary:

• The Revenue Cycle Manager oversees and manages the daily operations of the billing office to ensure all charges are processed, billed accurately, and any denials or edits are resolved and followed-up on in a timely manner. Reporting to the Director, Revenue Cycle, the role is responsible to work both internally within the department and externally with other members of the health system to support the goals and protocols of revenue cycle workflow and/or revenue affecting tasks. The individual must be able to process large quantities of data to monitor Key Performance Indicators (KPI) and research all barriers to successful revenue cycle management.
• The Revenue Cycle Manager will perform analysis of financial and statistical data related to revenue cycle, including the creation, analysis, and distribution of revenue related reports. The individual provides leadership and training to analysts and specialists, coordinates the resolution of HB and PB related WQ issues, and identifies areas of improvement and education opportunities. Works with leadership to support issues related to Registration, Charge Capture, Billing, Charge Correction and Revenue Cycle Workflow Assessments.
• Provides subject matter expertise to revenue cycle leaders and other key stakeholders, and other duties as assigned.

Responsibilities:

• Establishes and monitors auditing and clinical billing office policies and procedures to ensure maximization of revenue for department.
• Monitors all charge/revenue related work queues to ensure resolution of accounts are occurring in a timely manner and leads support for WQ analytics for technical and professional services.
• Reports, investigates, and resolves significant revenue cycle metrics variances identified through continuous monitoring reports. Coordinates front, middle, and back-end analytics in regards to department revenue. Recommends thorough analysis, solutions of revenue cycle problems.
• Project lead for revenue cycle/operational improvement projects and activities.
• Manages staff; interviews, hires, and guides direct reports with staff training, distribution of work, holding accountable for performance measures, appraises performance with rewards and discipline including annual evaluations, addresses complaints and resolves issues that may arise, and acts as a mentor for all department staff.
• Develops and maintains strong working relationships with Clinical Documentation staff (EM, Observation Medicine, Hyperbarics and Wound Center), Revenue Cycle Leaders, and other UPHS internal partnerships.
• Stays current with industry standards, rules, and regulations affecting reimbursement and revenue cycle and assists to implement changes accordingly to maximize revenue for services rendered in compliance with established third-party guidelines.
• Maintains confidentiality with respect to medical records and corporate documents (HIPAA, JCAHO, etc.).

Education or Equivalent Experience:

• H.S. Diploma/GED AND 7+ years billing/revenue cycle experience (Required).
• OR Bachelor's Degree in Business, Accounting or Healthcare AND 3 years supervisory or managerial experience and previous exposure to hospital or physician billing (Required).

Skills & Abilities:

• Basic knowledge of EHR programs, Medical Terminology, ICD-10, CPT, HCPCS codes and coding processes (Required).
• Basic skill level in Microsoft PowerPoint (Required).
• Knowledge of clinical billing and collection (Required).
• Thorough understanding of healthcare reimbursement and denial management processes (Required).
• Strong written and verbal interpersonal skills (Required).
• Leadership abilities along with communication, analytical, and organizational skills (Preferred)
• Intermediate level skill in Microsoft Excel and Microsoft Word (Preferred).
• Ability to develop and implement policies and procedures (Preferred).

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.

Current UPHS-paid Employees must CLICK HERE to apply on the Internal job board

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