Manager Patient Financial Services - Hospital Billing
About The Position
The Manager of Patient Financial Services reports to the Director of Patient Financial Services and leads collection operations for the hospital and CHOP physician practices. The role is accountable for effective, compliant, and efficient patient financial services processes and strong financial outcomes. The Manager oversees compliant billing of commercial and Medicaid patient insurance claims and directly supervises one Supervisor, two Specialists, and approximately 10 additional staff members. The Manager maintains knowledge of payer contracts, regulatory changes, and industry trends that affect reimbursement, using that information to optimize clean claim submission. The role identifies, analyzes, and resolves payer-related billing and claim-rejection issues while promoting team engagement and continuous improvement. In collaboration with Patient Access Services and Revenue Integrity, the Manager supports seamless revenue-cycle processes, operational efficiency, and organizational financial goals. This position has a hybrid schedule: onsite Tuesdays and remote the remainder of the week. Standard hours are 8:00 AM–5:00 PM, with occasional onsite presence for ad hoc meetings or business needs.
Requirements
- Bachelor's degree required.
- At least five years of work experience in a healthcare billing and revenue-cycle environment.
- At least three years of supervisory experience.
- Understanding of managed-care business processes, data, systems, and applications for claims billing and payment.
- Strong understanding of insurance billing and reimbursement procedures.
- High analytical ability and strong knowledge of system analysis and data-gathering techniques.
- Strong communication skills and the ability to build trust and accountability.
- Proactive, strategic thinking and sound business and strategic-planning skills.
- Ability to navigate complex political situations effectively and quietly, using informal influence skills.
- Proficient computing skills, particularly with healthcare billing platforms and Microsoft Office products; reporting abilities through Business Objects, Crystal Reports, or similar tools.
- Strong ethical standards consistent with those of The Children's Hospital of Philadelphia.
- Project management skills.
Nice To Haves
- Master's degree in healthcare administration, business administration, or another business-related field.
- EPIC experience.
- Certified Revenue Cycle Representative (CRCR) certification from the Healthcare Financial Management Association (HFMA).
- Hospital Business Institute (HBI) Certification.
Responsibilities
- Provide leadership for the hospital billing function.
- Collaborate with Hospital Collections, Patient Access, Registration, Case Management/Utilization Review, HIM, Audit & Compliance, Specialty Centers, and other Business Services areas to support efficient and effective revenue-cycle workflows.
- Monitor performance against established targets and develop strategies to achieve goals.
- Develop relationships with payer representatives to help expedite resolution of adjudication problems.
- Oversee compliant billing of commercial and Medicaid patient insurance claims.
- Identify, analyze, and resolve payer-related billing and claim-rejection issues.
- Perform other duties as assigned by the Director of Patient Financial Services Collections.
Benefits
- Eligible for an incentive program.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
