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Penn Medicine Manager, Financial Clearance in Philadelphia, Pennsylvania

Description

Penn 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?

Manager, Financial Clearance

Job Summary:

  • The Manager of Financial Clearance directs and coordinates all daily operations within the Financial Clearance division within the Hospital of the University of Pennsylvania (HUP) and the Clinical Practices of the University of Pennsylvania (CPUP). The Financial Clearance Division is responsible for the Insurance Verification and Precertification/Authorization Processes for all elective and emergency hospital-based services. The Manager oversees and is responsible for all aspects of the Revenue Cycle activities within these areas which have direct impact on the financial outcome of Penn Medicine's Revenue Cycle Key Performance Indicators (KPIs).

Responsibilities:

  • Manages the daily operations of the Financial Clearance division within the HUP/CPUP Revenue Cycle Department.

  • Develops, manages and tracks departmental processes and reports to ensure the Revenue Cycle’s KPI benchmarks are being met.

  • Drives standardization efforts in accordance with the organization’s mission.

  • Reviews departmental policies and procedures on a regular basis and makes updates as needed, focusing on continuous process improvement.

  • Manages staff; interviews, hires, assigns and directs work, appraises staff performance with rewards and discipline, addresses complaints and resolves issues that may arise, and acts as a mentor for department staff.

  • Assists in the development of the operational budget and manages within the budget; monitors and controls expenses in support of departmental’ s financial goals.

  • Assists in managing relationships with internal and external customers (i.e. vendors, hospital and practice departments, county assistance liaisons, etc.)

  • Assist the department in achieving and maintaining the Hospital’s Candidate for Billing (CFB) daily goal.

  • 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:

  • Bachelor's Degree and 3+ years of experience in a Revenue Cycle setting.

OR

  • H.S. Diploma/GED and 10+ years of experience in a Revenue Cycle Setting.

  • 3+ years of experience in a Supervisory/ Management role (Preferred).

Certifications:

  • AAHAM Revenue Cycle Certification (Preferred).

Skills & Abilities:

  • Ability to manage concurrent projects while meeting project deadlines.

  • Ability to use Microsoft Excel.

  • Ability to use Microsoft Power Point.

  • Ability to use Microsoft Word.

  • Ability to manage difficult situations with tact and diplomacy.

  • A thoughtful individual, politically astute with strong diplomatic skills. Outstanding relationship building skills.

  • Strong communication skills with all levels of staff and personnel.

  • Ability to analyze, diagnose, suggest and implement process change.

  • Understanding of medical terminology.

  • Ability to lead/manage others.

  • Ability to work in a fast paced environment with changing priorities.

  • Ability to work within tight timeframes and meet strict deadlines.

  • Demonstrated ability to build a high performing team.

  • Experience in a healthcare environment.

  • Knowledge and understanding of front to back-end revenue cycle business processes.

  • Knowledge of federal, state, and third-party payer requirements.

  • Must be dependable.

  • Must be strategic thinker.

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 Work

We 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: 227465

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