Practice Support Manager
Jefferson Health Plans•Philadelphia, PA
•Onsite
About The Position
Responsible for cultivating relationships between leaders, physicians, operations and revenue cycle team. Plays an active role in monitoring payer, legislative and reimbursement guidelines and changes. Provides guidance on system and operations processes to achieve optimal performance.
Requirements
- High School Diploma/GED or equivalent
- 5 years related experience
- Experience in hospital and physician billing and follow-up, coding, reimbursement guidelines, payer policy and health insurance
- Strong working knowledge/understanding of EPIC
- Advanced Microsoft Office (excel, MS Access)
- Ability to review/interpret financial reports
- Strong analytical and critical thinking skills
- Strong understanding of provider's revenue cycle process
- Strong organizational skills and ability to multi-task
- Strong presentation skills and track record presenting to practice/hospital/department chairs, executives, etc...
Nice To Haves
- Bachelor’s Degree in Finance, Business Mgmt, or related studies
- Epic super user certification
Responsibilities
- Cultivating relationships between leaders, physicians, operations and revenue cycle team.
- Monitoring payer, legislative and reimbursement guidelines and changes.
- Providing guidance on system and operations processes to achieve optimal performance.
- Identifying trends and opportunities in Epic workflows related to registration, scheduling, and billing in Epic.
- Monitoring assigned practice Epic work queues and KPI's.
- Providing necessary reports, process changes and performance outcomes required to attain top decile performance.
- Overseeing conversion process to Epic and legacy system rundown for assigned practices.
- Providing minimal training/review of work flow and work queue operations for assigned practices.
- Reviewing, auditing and troubleshooting processes between PBS and assigned practices.
- Assisting in development of new operational workflows in the Epic system.
- Monitoring all patient billing issues as they relate to assigned practices.
- Ensuring proper completion of issues and patient satisfaction.
- Identifying, reporting and resolving billing errors, compliance issues or reimbursement concerns for assigned practices.
- Partnering with leadership on resolving outstanding appeals.
- Monitoring payer policy and legislative changes and their impact on assigned practices operations.
- Documenting, communicating and assisting with any required operational or system changes.
- Meeting monthly with practice Chairman/Administration to ensure understanding of current practice financials and any expected impact based on new legislation or policies.
- Interacting with co-workers, visitors, and other staff consistent with the values of Jefferson.
Benefits
- Medical (including prescription)
- Supplemental insurance
- Dental
- Vision
- Life and AD&D insurance
- Short- and long-term disability
- Flexible spending accounts
- Retirement plans
- Tuition assistance
- Voluntary benefits
- Tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
