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Job Details PRIMARY FUNCTION:
The Billing Manager is responsible for the oversight and direct supervision of billing for all transplant programs. The manager ensures that daily functions are properly staffed to accommodate all necessary billing and billing follow-up needs. The manager is responsible for ensuring that staff is efficient and professional. The Billing Manager monitors billing quality, completeness, and accuracy. The Billing Manager ensures that Medicare cost reporting activities are monitored, current, and complete. The billing manager is the department's time keeper and monitors transplant time studies for staff, physicians and purchased salary departments. The transplant billing manager is responsible for working with contract management to ensure transplant contracts are favorable, up to date, and match the contractual tables in Epic. The billing manager is responsible for ensuring the transplant department is compliant with Medicare Cost Reporting practices and terms and conditions of various contractual agreements.
Job Description CORE FUNCTIONS AND COMPETENCIES: * Assigns and delegates work assignments to Transplant Charge Hold Coordinators
* Runs daily, weekly, and monthly Epic reports for transplant Billing
* Works with the CBO, PB/PB, insurance verification, and contracting teams to resolve billing errors
* Insures that all required Epic documentation for billing is complete and accurate
* Monitors and performs quality assurance on billing work queues and monthly Medicare Cost Report for hospital and professional billing charges
* Facilitates billing for Kidney Paired Exchanges as the donor and recipient transplant center
* Manages department invoices and requests for payments for third party vendors and donor billing
* Identifies operational issues and communication with Transplant Associate Administrator to assure resolutions
* Identifies staff training needs and works to facilitate training sessions and provides ongoing education
* Orientation of new staff
* Hiring, management, discipline, and termination of Transplant Charge Hold Coordinators OTHER DUTIES: * Attends all staff meetings
* Understands and adheres to professional office standards
* Is familiar with and implements all office policies and procedures
* Other duties as assigned by Transplant Associate Administrator Commitment to Excellence.
- Seeks help to improve performance
- Takes an active interest in learning all aspects of job
- Learns from mistakes
- Accepts responsibility for own continuous learning and uses organizational opportunities to learn.
- Sets goals to enhance skills. Innovation/Problem Solving/Analytical Skills
- Identifies problems
- Secures relevant data to identify possible causes
- Generates innovative alternate courses of action considering possible consequences
- Reaches conclusions and solutions based on thorough analysis and reasoning
- Offers suggestions without waiting to be asked
- Shows an energetic and positive approach to work. Integrity/Organizational Responsibility
- Complies with Confidentiality Policy and Code of Conduct.
- Acts in an ethical, honest and appropriate manner within the workplace.
- Operates within policies and procedures.
- Displays proper identification.
- Utilizes facility resources in a cost-effective manner. Respect/Customer Service.
- Gives customers full attention and treats them with dignity, respect and understanding.
- Listens to and responds with empathy to customer concerns.
- Shows a caring attitude.
- Acts with consideration for the needs of students, patients, volunteers, visitors and coworkers.
- Represents Jefferson in a positive way.
- Anticipates and responds to others' needs promptly and courteously. Teamwork/Communication
- Works effectively with others toward common unit goals.
- Establishes and sustains a positive impact on people
- Actively contributes to morale and teamwork.
- Stays informed and supports changes and initiatives.
- Communicates between and within departments.
- Keeps coworkers informed. Job Productivity/Dependability.
- Demonstrates ability to set goals, assign priorities, anticipate problems, establish limits, and achieve results.
- Completes multiple tasks with timeliness.
- Schedules and uses time efficiently.
- Achieves quality results.
- Demonstrates reliability in meeting deadlines and completing responsibilities.
- Accepts accountability for own performance.
Management Support
- Keeps supervisor well informed of status of assignments.
- Responds to requests and leadership of supervisor.
- Helps supervisor gain support for unit goals and plans.
- Adjusts behavior, style or schedule as situations change.
- Performs work assignments with minimum need for supervision and guidance. Safety
- Knows policies and procedures applicable to assigned duties.
- Uses sound judgment and is aware of potential hazards before taking action.
- Promptly reports errors/events or situations of actual or potential harm.
- Understands emergency procedures and can demonstrate appropriate response. POSITIONS, SUPERVISED OR DIRECTED (TITLES AND APPROXIMATE NUMBERS):
2 Transplant Charge Hold Coordinators
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INTERNAL/EXTERNAL CONTACTS:
Physicians and other clinical and administrative staff
Department Heads (hospital and Jefferson University Physicians business offices), patients, insurance companies, third party vendors and billing staff at other transplant facilities.
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EDUCATIONAL/TRAINING REQUIREMENTS:
Bachelor's degree required.
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CERTIFICATES, LICENSES, AND REGISTRATION:
N/A
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EXPERIENCE REQUIREMENTS:
3+ years' experience working in hospital or professional billing, preferably with direct managerial and transplant billing experience. Work Shift Workday Day (United States of America)
Worker Sub Type Regular
Primary Location Address 833 Chestnut Street, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
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Thomas Jefferson University & Jefferson Health
Apr 02, 2025