Manager, Hospital Billing

Penn Medicine; Bala Cynwyd (PA); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Penn Medicine is seeking a Manager, Hospital Billing to lead the Billing operation within Patient Accounting at our Bala Cynwyd location. You will supervise staff, optimize workflows, and ensure timely submission of claims across multiple markets, while enforcing policies and driving performance.

The role requires 5+ years in hospital billing management; EPIC experience is preferred. AHS diploma is required, Bachelor’s degree preferred, and an emphasis on regulatory compliance and staff

Qualifications

• Minimum 5 years of management-level experience in hospital billing.
• Hands-on experience with EPIC is preferred.
• Bachelor’s degree is preferred.

Responsibilities

• Manage the daily billing workflow and staffing, ensuring accurate submissions.
• Ensure compliance with regulatory and contractual changes.
• Plan and implement quality assurance for billing processes.
• Lead the Billing staff and allocate resources for maximum efficiency.
• Oversee transmitting and receiving electronic and paper claim submissions.

Skills

Billing management

Team leadership

Regulatory compliance

Education

High School Diploma

Bachelor’s degree preferred

Tools

EPIC

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 Services

Department: Financial Management, Patient Accounting Administration

Location: 150 Monument Road, Bala Cynwyd, PA/hybrid

Summary

Working under limited supervision, the Manager, Hospital Billing is responsible for leading, prioritizing and planning the billing operations in Patient Accounting. The individual is responsible for designing, implementing and enforcing  policies and procedures, as well as streamlining effective billing processes across multiple markets. They will establish monitoring controls to assess accurate and timely submission of claims through the use of available technology; maintain communication with third-party payors to ensure compliance with billing requirements; manage the Billing Department personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivate employees to achieve peak productivity and performance.

Responsibilities

• Manage the daily billing work flow and inventory, which includes resolving billing deficiencies and identifying billing system improvements.
• Ensure third-party compliance with respect to regulatory and contractual changes.
• Plan and implement quality assurance for all billing processes.
• Ensure accurate and timely submission of third-party claims.
• Manage the Billing Staff by selecting, orienting, training, assigning, scheduling, coaching, counseling and disciplining employees;communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies and procedures.
• Ensure appropriate staffing levels and allocation to maximize efficiency of the Billing Department.
• Manage the transmission and receipt of all electronic and paper claim submissions.
• Manage special projects as assigned.
• 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.

Credentials

• AAHAM Certification - [Certified Revenue Cycle Executive (CRCE) and/or Certified Revenue Cycle Specialist (CRCS)]. Must be certified within first year of employment.

Education or Equivalent Experience

• H.S. Diploma is required.
• 5+ years of management-level experience in hospital billing is required.
• Bachelor's degree is preferred.
• Hands-on experience with EPIC is 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.