Job Details

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.

Job Description

Summary
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.


Job Duties

• Indentifies trends and opportunities in Epic workflows related to registration, scheduling, and billing in Epic.
• Monitor assigned practice Epic work queues and KPI's. Provide necessary reports, process changes and performance outcomes required to attain top decile performance.
• Epic super user certification. Oversee conversion process to Epic and legacy system rundown for assigned practices, provide minimal training/review of work flow and work queue operations for assigned practices.
• Review, audit and troubleshoot processes between PBS and assigned practices. Assist in development of new operational workflows in the Epic system.
• Monitor all patient billing issues as they relate to assigned practices. Ensure proper completion of issues and patient satisfaction.
• Identify report and resolve billing errors, compliance issues or reimbursement concerns for assigned practices. Partner with leadership on resolving outstanding appeals.
• Monitor payer policy and legislative changes and there impact on assigned practices operations. Document, communicate and assist with any required operational or system changes. Meet monthly with practice Chairman/Administration to ensure understanding of current practice financials and any expected impact based on new legislation or policies.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson

Minimum Qualifications

• High School Diploma/GED or equivalent
• 5 years related experience
• Experience in hospital and physcian 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 ablilty to multi-task.
• Strong presentation skills and track record presenting to practice/hospitaldepartment chairs, executives, etc...

Preferred Qualifications

• Bachelor’s Degree in Finance, Business Mgmt, or related studies

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University

Primary Location Address

1015 Chestnut Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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