Patient Financial Services AR Specialist- Homecare

Children's Hospital of Philadelphia; King of Prussia (Montgomery County); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player in pediatric care is seeking a dedicated Specialist to lead projects and support the leadership team. This role is pivotal in managing complex issues, investigating denials, and fostering inter-departmental relationships. The ideal candidate will thrive in a dynamic environment, demonstrating strong organizational and decision-making skills while ensuring compliance with industry standards. Join a diverse community committed to innovation and excellence in healthcare, where your contributions will make a significant impact on the lives of patients and families. If you are passionate about driving change and improving healthcare outcomes, this opportunity is for you.

Qualifications

• 3+ years of experience in healthcare billing or collections required.
• Strong math aptitude and organizational skills are essential.

Responsibilities

• Lead projects and support the leadership team as a Subject Matter Expert.
• Troubleshoot issues, maintain workflows, and ensure compliance.

Skills

Mathematical Aptitude

Organizational Skills

Decision-Making Skills

Leadership Skills

Interpersonal Skills

Writing and Oral Communication Skills

Detail Oriented

Ability to Handle Confidential Matters

Flexibility to Work Overtime

Education

High School Diploma / GED

Bachelor's Degree

Tools

Excel

Epic System

Job description

SHIFT:

Day (United States of America)

Seeking Breakthrough Makers

Children’s Hospital of Philadelphia (CHOP) 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.


A Brief Overview

The Specialist will lead projects and support the leadership team as a Subject Matter Expert in their field. The Specialist will handle complex issues, investigate denials, identify trends, and hold inter-departmental relationships. The Specialist will maintain internal controls, manage specialized functions and work queues and provide support for special projects. The position will have daily tasks assigned to them, dependent on team/department need.

The Specialist must maintain the ability to handle requests from multiple sources and manage multiple deadlines. The position requires a person to act as a troubleshooter and resolve issues as they arise, and/or involve appropriate management personnel as needed. Must be committed to bringing projects to completion timely and identifying trends, root causes and efficiency opportunities.

What you will do

• Acts as subject matter expert in their department, manages projects to timely completion, troubleshoots issues and maintains accurate and compliant workflows.
• Holds inter-departmental relationships within PFS and outside of PFS; manages assigned workflows and work queues associated with these relationships and is the primary communicator with the department for any improvement opportunities.
• Monitors work queues assigned as their responsibility, meeting established production and quality standards for the assigned tasks.
• Specific focus is project oriented. Identify trends, training opportunities, denial prevention initiatives and maintaining internal controls for the department.
• Performs workflow analysis, documents workflows, and testing planning in support of departments strategic and operational objectives.
• Stays current on regulations and industry standard trends to ensure CHOP is compliant.
• Responsible for creating presentation and data analytics to drive change and improvements.
• Documents processes to help keep revenue cycle stakeholders informed and identify optimization opportunities.
• Other duties as assigned.

Education Qualifications

• High School Diploma / GED Required
• Bachelor's Degree Preferred

Experience Qualifications

• At least three (3) years of work experience in healthcare billing or collections environment or other related role required
• Demonstrated success in resolution of patient accounts; demonstrated ability to identify trends and complete assignments timely required

Skills and Abilities

• Strong math aptitude required
• Excellent organizational skills required
• Clear and concise decision making skills required
• Leadership skill required
• Detail oriented required
• Strong interpersonal skills required
• Excellent writing and oral communication skills required
• Ability to work independently; results oriented required
• Ability to handle confidential matters required
• Flexibility to work overtime as needed/required required
• Experience with personal computers including Excel required
• Experience with Epic system preferred

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, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine.

Learn more.

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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