Remote Managed Care Finance Assistant — Revenue & Contracts

Penn Medicine; Philadelphia (Philadelphia County); Hybride; USD 32 000 - 40 000; Plein temps

Résumé du poste

Penn Medicine is seeking a detail-oriented professional to support reimbursement and financial analysis across managed care contracts. The role involves verifying account values, reviewing insurance payments versus contracted amounts, and collaborating with the Office of Hospital Reimbursement to support denial tracking and reporting.

The position reports to the Director of Operations Reimbursement and Managed Care Analysis and offers remote work with initial in-person training at Philadelphia,

Qualifications

• High school diploma or GED required.
• At least 1 year of hospital or physician managed care contract management or billing operations experience required.
• Bachelor's degree may substitute for years of experience.
• Bachelor of Arts or Science preferred.
• Basic understanding of medical billing processes and revenue cycle management preferred.

Responsabilités

• Work closely with Managed Care department and the Contract Management Administrator to ensure contract terms are 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.

Formation

H.S. Diploma/GED

1+ years 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

Bachelor of Arts or Science (Preferred)

Basic understanding of medical billing process flows and revenue cycle management techniques (Preferred)

Description du poste

Penn Medicine is seeking a detail-oriented professional to support reimbursement and financial analysis across managed care contracts. The role involves verifying account values, reviewing insurance payments versus contracted amounts, and collaborating with the Office of Hospital Reimbursement to support denial tracking and reporting.

The position reports to the Director of Operations Reimbursement and Managed Care Analysis and offers remote work with initial in-person training at Philadelphia,