DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?Managed Care, Financial Services AssistantJob Summary:
Under the leadership of the Director of Operations Reimbursement and Managed Care Analysis and the Manager of the Office of Physician Reimbursement, this position supports the maintenance of the Physician Contract Management/Modeler software, Experian Health Contract Manager. This includes verification of account values and review of insurance payments as compared to the contracted amounts. In addition, the Managed Care–Financial Services Assistant will work closely with the Manager of the Office of Physician Reimbursement. The Financial Assistant will also work closely with the Managed Care Contracting team in supporting the Contract Model Process and CPUP Finance in support of Managed Ambulatory Practice Services (MAPS) Financial Reporting. The position will also work closely with the clinical practices and Office of Physician Reimbursement in maintaining and developing physician fee schedules and fulfilling general analysis and reporting needs.
Responsibilities:
Work closely with Managed Care department and the Contract Management Administrator to ensure that contract terms are properly identified and maintained in the contract management system.
Assist the Manager and the Sr. Analyst in development and maintenance of fee schedules and audits.
Assist department in reviewing payment accuracy and patient account review, as needed.
Support the Senior Financial Analyst with physician revenue modeling assuring accuracy and attention to detail.
Work closely with CPUP Accounting to ensure timely and accurate reporting to MAPS program revenue required to develop monthly financial statements.
Fulfill monthly reporting needs of various clinical practices, including but not limited to, Otorhinolaryngology, Neonatology, Cardiology and Pathology.
Support UPHS Managed Care and Corporate Finance in contract analysis and revenue forecasting.
Adheres to monthly closing schedule for all reporting requirements.
Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.
Other duties as assigned to support the unit, department, entity, and health system organization.
Education or Equivalent Experience:
H.S. Diploma/GED (Required).
1+ years of experience in hospital and/or physician managed care contract management or hospital and/or physician billing operations experience.
Bachelor's degree may substitute for years of experience.
Basic understanding of medical billing process flows and revenue cycle management techniques (Preferred).
Skills & Abilities:
Accounting skills
Demonstrated organizational skills
Demonstrated problem solving skills
Must be able to function as part of a team providing a high level of quality service to clients
Ability to work independently
Ability to use Microsoft Outlook
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.Live Your Life's WorkWe are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.REQNUMBER: 232509
