Practice Support Manager

Jefferson Health Plans•Philadelphia, PA
•Onsite

About The Position

The Practice Support Manager cultivates relationships among leaders, physicians, operations, and the revenue cycle team. The role monitors payer, legislative, and reimbursement guidelines and changes, and provides guidance on system and operational processes to support optimal performance. The manager identifies trends and opportunities in Epic workflows for registration, scheduling, and billing; monitors assigned practice Epic work queues and KPIs; and provides reports, process changes, and performance outcomes to support top-decile performance. The role also oversees Epic conversions and legacy-system rundown for assigned practices, provides limited workflow and work-queue training or review, and helps develop new Epic operational workflows. The position reviews, audits, and troubleshoots processes between PBS and assigned practices; monitors and resolves patient billing issues; and identifies and addresses billing errors, compliance issues, and reimbursement concerns. The manager partners with leadership on outstanding appeals, tracks payer policy and legislative changes, communicates resulting operational or system changes, and meets monthly with practice chairs and administration to review practice financials and anticipated impacts of new policies or legislation. The role interacts with co-workers, visitors, and other staff in a manner consistent with Jefferson’s values.

Requirements

  • High school diploma, GED, or equivalent.
  • At least 5 years of related experience.
  • Experience in hospital and physician billing and follow-up, coding, reimbursement guidelines, payer policy, and health insurance.
  • Strong working knowledge and understanding of Epic.
  • Advanced Microsoft Office skills, including Excel and MS Access.
  • Ability to review and interpret financial reports, with strong analytical and critical-thinking skills and a strong understanding of the provider revenue cycle process.
  • Strong organizational skills and ability to multitask.
  • Strong presentation skills and a track record of presenting to practice or hospital department chairs, executives, and others.

Nice To Haves

  • Bachelor’s degree in Finance, Business Management, or related studies.

Responsibilities

  • Cultivate relationships among leaders, physicians, operations, and the revenue cycle team.
  • Monitor payer, legislative, and reimbursement guidelines and changes.
  • Provide guidance on system and operational processes to support optimal performance.
  • Identify trends and opportunities in Epic workflows related to registration, scheduling, and billing.
  • Monitor assigned practice Epic work queues and KPIs, and provide reports, process changes, and performance outcomes to support top-decile performance.
  • Oversee Epic conversion and legacy-system rundown for assigned practices; provide limited workflow and work-queue operations training or review.
  • Review, audit, and troubleshoot processes between PBS and assigned practices.
  • Assist in developing new operational workflows in Epic.
  • Monitor patient billing issues for assigned practices and ensure issues are completed properly and patients are satisfied.
  • Identify, report, and resolve billing errors, compliance issues, and reimbursement concerns for assigned practices.
  • Partner with leadership to resolve outstanding appeals.
  • Monitor payer policy and legislative changes affecting assigned practices; document, communicate, and assist with required operational or system changes.
  • Meet monthly with practice chairs and administration to review current practice financials and expected impacts of new legislation or policies.
  • Interact with co-workers, visitors, and other staff consistent with Jefferson’s values.

Benefits

  • Medical insurance, including prescription coverage
  • Supplemental insurance
  • Dental insurance
  • Vision insurance
  • Life and AD&D insurance
  • Short- and long-term disability coverage
  • Flexible spending accounts
  • Retirement plans
  • Tuition assistance
  • Voluntary benefits, including access to group insurance rates and discounts
  • Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
  • Access to medical insurance, including prescription coverage, for all colleagues, including those working less than part-time, per diem colleagues, adjunct faculty, and Jeff Temps
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