Pennsylvania Medicine

Manager, Hospital Billing

Pennsylvania Medicine • $80K — $95K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • AAHAM Certification (CRCE and/or CRCS) required within the first year of employment.
  • High School Diploma required; Bachelor's degree preferred.
  • 5+ years of management-level experience in hospital billing required.
  • Hands-on experience with EPIC preferred.

Responsibilities

  • Manage daily billing workflow and resolve deficiencies.
  • Ensure compliance with third-party regulatory and contractual changes.
  • Plan and implement quality assurance for billing processes.
  • Ensure timely submission of third-party claims.
  • Oversee Billing Staff management, including training and performance evaluation.
  • Maintain appropriate staffing levels for efficiency.
  • Manage electronic and paper claim submissions.

Benefits

  • Comprehensive compensation and benefits program.
  • Prepaid tuition assistance program.
  • Focus on employee health and wellness.
  • Engagement in a mission-driven environment.
Full Job Description
Entity: Corporate Services

Department: Financial Management, Patient Accounting Administration

Location: 150 Monument Road, Bala Cynwyd, PA/hybrid

Summary:

Working under limited supervision, the Manager, Hospital Billing is responsible for leading, prioritizing and planning the billing operations in Patient Accounting. The individual is responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing processes across multiple markets. They will establish monitoring controls to assess accurate and timely submission of claims through the use of available technology; maintain communication with third-party payors to ensure compliance with billing requirements; manage the Billing Department personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivate employees to achieve peak productivity and performance.

Responsibilities:
  • Manage the daily billing work flow and inventory, which includes resolving billing deficiencies and identifying billing system improvements.
  • Ensure third-party compliance with respect to regulatory and contractual changes.
  • Plan and implement quality assurance for all billing processes.
  • Ensure accurate and timely submission of third-party claims.
  • Manage the Billing Staff by selecting, orienting, training, assigning, scheduling, coaching, counseling and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies and procedures.
  • Ensure appropriate staffing levels and allocation to maximize efficiency of the Billing Department.
  • Manage the transmission and receipt of all electronic and paper claim submissions.
  • Manage special projects as assigned.
  • Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.
  • Other duties as assigned to support the unit, department, entity, and health system organization.

Credentials:
  • AAHAM Certification - [Certified Revenue Cycle Executive (CRCE) and/or Certified Revenue Cycle Specialist (CRCS)]. Must be certified within first year of employment.
Education or Equivalent Experience:
  • H.S. Diploma is required.
  • 5+ years of management-level experience in hospital billing is required.
  • Bachelor's degree is preferred.
  • Hands-on experience with EPIC is 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

About Pennsylvania Medicine

The University of Pennsylvania is a private Ivy League research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universities by numerous organizations and scholars. While the university dates its founding to 1740, it was created by Benjamin Franklin and leading Philadelphia citizens in 1749 . The University has four undergraduate schools as well as twelve graduate and professional schools. Schools enrolling undergraduates include the College of Arts and Sciences, the School of Engineering and Applied Science, the Wharton School, and the School of Nursing. Among its highly ranked graduate schools are its law school, whose first professor wrote the first draft of the United States Constitution, its medical school, the first in North America, and Wharton, the first collegiate business school. Penn's endowment is US$20.7 billion, putting it amongst the wealthiest academic institutions in the world, and its 2019 research budget was $1.02 billion. Penn was one of nine colonial colleges chartered before the U.S. Declaration of Independence when Benjamin Franklin, the university's founder and first president, advocated for an educational institution that trained leaders in academia, commerce, and public service. The campus, in the University City neighborhood of Philadelphia, is centered around College Hall, and notable landmarks are Houston Hall, the first modern "student union", and Franklin Field, the first double-decker college football stadium. Penn also is the home of the Morris Arboretum, the official arboretum of the Commonwealth of Pennsylvania, which is located 15 miles northwest of the campus, in the Chestnut Hill section of Philadelphia. The university's athletics program, the Quakers, fields varsity teams in 33 sports as a member of the NCAA Division I Ivy League conference.
Learn more about Pennsylvania Medicine

Similar Jobs

More Jobs at Pennsylvania Medicine

More Hospitals & Medical Centers Jobs

Find similar Manager, Hospital Billing jobs: