Job description
Location: LOC_CIRA-Cira Centre
Req ID: 217098
Shift: Days
Employment Status: Regular - Full Time
Seeking Breakthrough Makers
Children’s Hospital of Philadelphia (CHOP)—named America’s 2022 Best Large Employer by
Forbes—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.
Job Summary
The Billing Supervisor supervises all activities in the Billing Operations. Responsible for billing activities and results, including billing of claims through oversight of work assignments, communication with third party payors, working with various hospital departments for resolution of billing, coding, issues or other delays that impact reimbursement.
Job Responsibilities
Supervises operational staff responsible for billing functions:
- Establishes and monitors quality and productivity standards. Measures performance addresses improvement opportunities with staff.
- Independently monitors QA audits for timely completion and appropriate documentation and sample size and repots any discrepancies to management.
- Monitors the daily performance of all billing functions to ensure compliance with all financial and operational goals.
- Review all work queues as it relates to claims and follow up of AR. Ensure that items are being corrected for claim or statement submission. Tracks and trends claims and insurance denials. Makes recommendations for front end solutions resulting in decreased errors and denials. Approve account write-offs, as justified with appropriate documentation
- Analyze and review of weekly staff production statistics with AR staff or assigned work queues and projects
- Employee performance reviews
- Monitors staff attendance and time-off to ensure adequate coverage within the departments.
- Hires and orients new staff; trains new and existing staff, as necessary.
Job Responsibilities (Continued)
Collaborates within Patient Access, Registration, Case Management/Utilization Review, HIM, Audit & Compliance, Specialty Centers, and other areas of Patient Financial Services to ensure that revenue cycle flows efficiently and effectively.
- Work with Patient Revenue Cycle (PARC), Business analyst, and other PB Practice Managers and Directors as the department liaison between the billing office. Work with Experian, self-pay vendors and other PB/HB department to resolve any issues or on process improvement plans
- Take part in payor plan meetings, claims meeting, Experian meetings and any other billing meeting related to claims and denials management.
Proactively identifies and resolves operational and system problems or issues.
- Recommends enhancements to the current workflow that will help to streamline the operation and provider greater service at a lower cost.
- Identifies billing system and issues; prepares specifications for system improvements
General administrative responsibilities include, but are not limited to:
- Conducts staff meetings, interdepartmental and intradepartmental in-services as needed.
- Maintains staff time records and employee files.
Required Education and Experience
Required Education: High School Diploma / GED.
Required Experience:
- At least three (3) years of experience in a physician billing environment.
- At least one (1) year of supervisory experience.
Preferred Education, Experience & Cert/Lic
Preferred Education: Bachelor’s Degree
Preferred Experience:
- Four (4) years of experience in a physician billing environment.
- Four (4) years of lead, supervisory or management experience.
Additional Technical Requirements
- Strong knowledge of physician billing regulations and procedures.
- Solid knowledge of insurance
- Excellent verbal and written communication.
- Strong customer service skills
- Strong interpersonal skills
- Strong time management skills
- Strong organizational skills
- Strong critical thinking / problem-solving skills
- Strong project management skills
- Strong analytical skills
- Ability to work independently with minimal supervision
- 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, professionals working onsite—at any CHOP location, for any portion of time—must be vaccinated for COVID-19. Learn more.
CHOP also requires employees who work in patient care buildings to 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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