SHIFT:
Day (United States of America)
A Brief OverviewReporting to the Director of Patient Financial Services, the Manager of Patient Financial Services plays a key leadership role in overseeing collection operations for both the hospital and CHOP physician practices. This position is responsible for driving strong financial outcomes by ensuring effective, compliant, and efficient patient financial services processes.
The Manager leads a team focused on compliantly billing for all patient insurance claims, including commercial and Medicaid billing. This role provides direct oversight of 1 Supervisors, 2 Specialists, and an additional team of approximately 10 staff members, fostering a high-performing and accountable work environment.
The Manager will stay current on payer contracts, regulatory changes, and industry trends that impact reimbursement, leveraging this knowledge to optimize clean claim submission. This leader will proactively identify, analyze, and resolve payer-related billing and/or claim rejection issues while driving team engagement and continuous improvement.
In close partnership with Patient Access Services and Revenue Integrity teams, the Manager will help ensure seamless, end-to-end revenue cycle processes that enhance operational efficiency and support the organization's financial goals.
Work-Life Balance- Hybrid schedule: Onsite Tuesdays; remote work the remainder of the week
- Standard hours: 8:00 AM - 5:00 PM
- Flexibility: Occasional onsite presence required for ad hoc meetings or business needs
What you will do- Provide leadership for the billing function for the Hospital
- Collaborates with Hospital Collections, Patient Access, Registration, Case Management/Utilization Review, HIM, Audit & Compliance, Specialty Centers, and other areas of Business Services to ensure that revenue cycle flows efficiently and effectively.
- Monitors performance against established targets and develops strategies to achieve goals
- Develop relationships with payor representatives to help speed resolution to adjudication problems
- Performs other duties as assigned by the Director of Patient Financial Services Collections
Education Qualifications- Bachelor's Degree Required
- Master's Degree Healthcare or Business Administration or another business related field of study Preferred
Experience Qualifications- At least five (5) years work experience in a healthcare billing and Revenue Cycle environment Required Required and
- At least three (3) years supervisory experience Required Required
Skills and Abilities- Superb leadership qualities; a consensus builder able to work both independently and collaboratively.
- Requires understanding of managed care business processes, data, systems, and applications for claims billing and payment
- Must possess strong understanding of insurance billing & reimbursement procedures
- Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques.
- Extremely skilled communicator with a style that engenders trust and accountability with those with whom he/she works.
- Thinks proactively and strategically with sound business and strategic planning skills.
- Ability to maneuver through complex political situations effectively and quietly; informal influence skills.
- Proficient computing skills, specifically healthcare related billing platforms, MS Office Products. Reporting abilities through business objects, crystal reporting, etc. (EPIC experience preferred).
- Strong sense of ethics consistent with those of The Children's Hospital of Philadelphia
- Project management skills.
Licenses and Certifications- Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA) - - Preferred
- Hospital Business Institute (HBI) Certification - Hospital Business Institute - - Preferred
SALARY RANGE:$101,300.00 - $129,100.00 Annually
Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.
This job is eligible for an incentive program.
At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.
