Employment Status:AF - Active - Regular - Full Time
The Revenue Cycle Manager is responsible for the overall billing and collection of patient revenue for Childrens Anesthesiology Associates, Ltd. ($165 M annual charges; $64 M annual payments). Childrens Anesthesiology Associates, Ltd. (CAA) provides anesthesiology and critical care services for The Childrens Hospital of Philadelphia and its affiliated ambulatory surgical facilities and satellite locations. He/she oversees all aspects of the billing process, including billing, coding and compliance, reimbursement, and accounts receivable. The Manager directly supervises the Claim Specialist, Credit and Refund Specialist, abstractionists/coders, and AR Supervisor in the performance of their respective job responsibilities. The Manager is responsible to ensure accurate and timely completion of the entire revenue cycle process through setting and enforcing policies and procedures, assuring appropriate set-up of the Epic system for anesthesia and critical care services, maintaining current knowledge of changes in compliance standards and payor policies, analyzing data for reimbursement trends, and interfacing with internal and external leaders to resolve identified issues. Understands and manages the denial processes. Monitors, tracks, and evaluates staff productivity and performance. Provides summary reports for executive management on a monthly basis.
Responsible for proactively driving revenue cycle metrics along with being an innovator within the revenue cycle team; responsible for maintaining and improving revenue results. The position is responsible for providing strategic leadership to the department in all areas relating to receivable management, including advising leadership on payer contracting, defining strategic objectives and implementing process redesign, and developing policies and measurement tools to ensure success. This individual is required to partner with the Manager of Accounts Receivable Analysis
- Provide direction for all areas of CAAs professional services billing operation, including billing and collection, coding and compliance, reimbursement and third party contract compliance, and reporting. Develop systems and organizational structure as appropriate.
- Develop and monitor billing policies and procedures.
- Perform various financial functions under the direction of the Director of Finance, including financial data analysis, preparation of the annual revenue budget, and revenue reconciliation
- Develop, coach and evaluate staff under direct supervision.
- Direct the AR Supervisor in the management of all A/R staff.
- Perform compliance and monitoring functions, according to departmental policies.
- Support the Manager of Accounts Receivable Analysis in identifying trends which negatively impact AR.
- Maintain EPIC work-queues
- Assist with management of third party payers
- Serve as primary department contact with billing colleagues throughout CHOP
- Monitor resolution of credit balances for refunds and adjustments.
- Proactively identify and resolve operational and system problems or issues.
- Ensure compliance with orders or directives issued by governmental and regulatory agencies or third parties, including the Health Care Finance Administration, Pennsylvania Department of Welfare and other agencies
Job Responsibilities (Continued)
Job Responsibilities (Continued)
Required Licenses, Certifications, Registrations
Required Education and Experience
Required Education: Bachelors Degree
- At least five (5) years of supervisory experience in medical services billing or related healthcare field.
Preferred Education, Experience & Cert/Lic
Preferred Education: Masters Degree
Preferred Experience: Experience in anesthesia billing. Experience with the Epic system.
Additional Technical Requirements
- Strong client orientation and previous experience working as part of a cross-functional team.
- Advanced knowledge of Microsoft Office Suite, especially Excel and PowerPoint
- Strong capacity for data management. Advanced experience with Excel and/or database functions.
- Demonstrated supervisory experience or aptitude for working with people in a leadership capacity.
- Ability to moderate meetings and negotiate outcomes in a professional manner.
- Financial experience and analytical skills
- Excellent project management skills
- Excellent written and verbal communication skills
- Excellent analytic, decision making and critical thinking skills.
- Excellent interpersonal and organization skills.
- Ability to handle multiple tasks, meet deadlines and handle confidential materials
All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.
Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products or nicotine in any form and a negative nicotine screen (the latter occurs after a job offer).
Children'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.
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