Reference #: 1008208
SHIFT:Day (United States of America)
Seeking Breakthrough Makers
Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.
At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.
CHOP's Commitment to Diversity, Equity, and Inclusion
CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.
We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.
A Brief Overview
This role supports department operational reports and performs a variety of high-level A/R projects within the CHCA and RACH Business Office.
This individual is responsible for the preparation and analysis of monthly payor reports and provides directions and recommendations to the Management team to capture and ensure more revenue for the department.
What you will do
Responsible to identify, analyze, and interpret trends or patterns in complex data sets.
Acquire data from primary or secondary sources and maintain databases/data systems
Interprets data, analyzes results and provides ongoing reports.
Provide reports; including creating and developing reports and presenting the findings.
Conducts contract analysis (open and closed AR) and payor analysis at the Department level for each payor as defined within the departmental fiscal year annual plan, or as requested by senior administration.
Will work with the Senior Director and Manager Revenue Cycle to assist with payor meetings monthly.
Ensure all negative trends associated to outstanding receivable problems, rejections, reimbursement trends, underpayments and overpayments, are identified and clearly presented to Payor Reps.
Maintain tracking log of all issues.
Perform root cause analysis, produce action plan; oversee implementation and monitor plan for successful incorporation into routine operations.
Maintain an expertise in all third-party reimbursement procedures understanding regulations, and reading all newsletters and updates with two working days of receipt. Must communicate these updates to the Administrative Directors and Business Office Management/staff. Responsible to ensure process changes are implemented as needed.
Provides assistance and subject matter expertise to all levels of staff.
Responsible for performing monthly analysis of open receivables.Education Qualifications
Bachelor's Degree Required
Master's Degree Business, Finance, Accounting or related field Preferred Experience Qualifications
At least three (3) years accounts receivable experience Required
At least three (3) years analytical experience Required
At least five (5) years accounts receivable experience Preferred
At least five (5) years analytical experience Preferred
At least five (5) years healthcare finance, accounting, billing or related environment Preferred Skills and Abilities
Advanced proficiency with spreadsheet software (Excel)
Intermediate proficiency working large complex data sets
Intermediate proficiency with running queries, report writing and presenting findings
Intermediate proficiency with presentation software (PowerPoint)
Intermediate proficiency with database software (Access)
Intermediate proficiency with related systems (EPIC, Business Objects, Crystal ProClarity)
Intermediate knowledge of Patient Financial Services procedures and operations
Intermediate knowledge of healthcare finance and accounting
Excellent verbal and written communications skills
Excellent interpersonal skills
Strong analytical skills
Ability to maintain confidentiality and professionalism
Ability to work independently with minimal supervision
Ability to gather, analyze and make recommendations/decisions based on data
Ability to convey complex or technical information in an easy-to-understand manner
Ability to collaborate with stakeholders at all levels
To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine.
Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.
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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.
