Managed Care Financial Services Assistant

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: Physician Reimbursement and Financial Analysis
• Location: Remote based out of 3535 Market Street, Philadelphia, PA
• Hours: 8am-4:30pm (M-F)

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 o...