Managed Care Financial Services Assistant

Penn Medicine; Philadelphia (Philadelphia County); Remote; USD 56,000 - 82,000; Full time

Job summary

Penn Medicine is seeking a Financial/Managed Care Analyst to support the Hospital Contract Manager/Modeler software, verify account values, and review insurance payments against contracted amounts. The role collaborates with the Managed Care–Financial Services team and reports to the Director of Operations Reimbursement and the Manager of the Office of Hospital Reimbursement.

The incumbent will work closely with the Sr. Analyst on fee schedules, audits, denial tracking, and monthly reporting.

Qualifications

• H.S. Diploma or GED required.
• 1+ years hospital and/or physician managed care contract management or hospital/billing operations experience required.
• Bachelor's degree may substitute for years of experience.
• Bachelor of Arts or Science preferred.

Responsibilities

• Support maintenance of the Hospital Contract Manager/Modeler software and verify account values.
• Assist in development and maintenance of fee schedules and audits.
• Review payment accuracy and patient account details as needed.
• Support revenue forecasting and denial tracking activities.
• Collaborate with departments on denials tracking and monthly/yearly reporting.

Skills

Hospital contract management

Managed care experience

Medical billing basics

Education

H.S. Diploma/GED

Bachelor's degree preferred

BA/BS preferred

Job description

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?

• Entity: Corporate
• Department: Phys Reimb and Fin Analysis
• Location: Remote with initial in person training based out of 3535 Market St. Philadelphia, PA
• Hours: 8hr Days

Summary

Under the leadership of the Director of Operations Reimbursement and Managed Care Analysis and the Manager of the Office of Hospital Reimbursement, this position supports the maintenance of the Hospital Contract Manager /Modeler software. 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 Hospital Reimbursement in Denial Tracking software 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 hospital revenue modeling assuring accuracy and attention to detail.
• Work closely with appropriate departments on denials tracking and reporting.
• Fulfill monthly/yearly reporting needs of for Denial Software.
• Support UPHS Managed Care and Corporate Finance in contract analysis and revenue forecasting.
• Adheres to monthly closing schedule for all reporting requirements.

Education or Equivalent Experience

• H.S. Diploma/GED (Required)
• And 1+ years Hospital and/or physician managed care contract management or hospital and/or physician billing operations experience. (Required)
• Bachelor's degree may substitute for years of experience.
• Bachelor of Arts or Science (Preferred)
• Basic understanding of medical billing process flows and revenue cycle management techniques. (Preferred)

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 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.