Senior Revenue Cycle Manager, Surgery Billing

Penn Medicine; Philadelphia (Philadelphia County); On-site; USD 120,000 - 170,000; Full time

Job summary

Penn Medicine in Center City seeks a Manager Revenue Cycle to lead the Surgery Revenue Integrity and Account Resolution teams within the Enterprise Surgery Revenue Cycle. You will oversee charge description master maintenance, systems integrity, education, and KPI reporting to ensure accurate claims submission and optimal revenue capture across professional and hospital services.

Strong leadership, vendor coordination, and a track record in healthcare revenue cycle are essential to drive

Qualifications

• AAHAM Revenue Cycle Certification is preferred.
• AAPC, AHIMA, or RCCB Coding Certification preferred.
• PMP, Six Sigma or other project/process management training or certification preferred.

Responsibilities

• Manages the daily operations of the Surgery Revenue Integrity and Account Resolution divisions within the Enterprise Surgery Revenue Cycle Department.
• Tracks departmental processes and reports to ensure the Revenue Cycle’s KPI benchmarks are being met, and researches, reports, and resolves any variances.
• Assesses, develops, implements, and administers departmental policies and procedures, focusing on continuous process improvement, appropriate onboarding, and ongoing competency-based education.
• Manages an engaged and diverse 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.
• Oversight of charge description master maintenance, systems integrity and metrics analysis, and revenue capture. Researches and creates strategies and workflows for payment of new and emerging technologies. Coordinates and leads Enterprise Surgery Change Control processes.
• Monitors charge reconciliation, revenue & usage, and other department and health system tools to ensure timely and accurate position of services rendered.
• Works closely with the Surgery Director of Finance, Corporate Revenue Cycle, and supporting teams to proactively identify, research, and resolve any issues or variances in expected volume, revenue, or other KPI measures.
• 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

High School Diploma or GED AND 10+ years Hospital or Practice Revenue Cycle Setting, including previous supervisory/management experience

Associate's Degree Healthcare, Finance, Management, or related field AND 7+ years Hospital or Practice Revenue Cycle Setting including previous supervisory/management experience.

Bachelor's Degree in Healthcare, Finance, Management, or related fieldAND 5+ years Hospital or Practice Revenue Cycle Setting, including previous supervisory/management experience.

Job description

Penn Medicine in Center City seeks a Manager Revenue Cycle to lead the Surgery Revenue Integrity and Account Resolution teams within the Enterprise Surgery Revenue Cycle. You will oversee charge description master maintenance, systems integrity, education, and KPI reporting to ensure accurate claims submission and optimal revenue capture across professional and hospital services.

Strong leadership, vendor coordination, and a track record in healthcare revenue cycle are essential to drive