Supervisor Patient Financial Services

at  Childrens Hospital of Philadelphia

EDUCATION QUALIFICATIONS

• High School Diploma / GED Required
• Bachelor’s Degree Preferred

EXPERIENCE QUALIFICATIONS

• At least three (3) years Experience in a healthcare reimbursement environment Required
• At least one (1) year Supervisory experience Required

SKILLS AND ABILITIES

• Requires understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, product pricing, network and provider contracting, and utilization management.
• Must possess strong understanding of insurance billing & reimbursement procedures.
• Excellent interpersonal & communication skills, and demonstrated organizational and leadership abilities.
• Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques.
• Ability to work independently towards specific goals and objectives and provide recommendations for improvement.
• Strong organizational and multi-tasking skills to apply toward high-priority assignments in order to meet established deadlines
• Proficient computing skills, specifically healthcare related billing platforms, MS Office Products. Reporting abilities through business objects, crystal reporting, etc. (EPIC experience preferred).

• Supervises staff responsible for various patient and third-party insurance review.
• Monitors staff production and QA scores. Measures performance; addresses improvement opportunities with staff.
• Support Managers with payor communications including minutes, distribution to staff, conducts in-services and training as needed.
• Collaborates with Patient Access, Registration, Case Management, HIM, Audit & Compliance and other areas of Patient Financial Services to ensure that revenue cycle flows efficiently and effectively.
• Performs other duties as assigned by their Manager.