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: LGH
DEPARTMENT: Administration
LOCATION: The Heart Group- 217 Harrisburg Ave
HOURS: Full Time (40 hours/week). Day Shift.
Summary:
- Responsible for the overall coordination of department unit business functions, including personnel management and business operations, working closely with the providers, Service Line leadership, and system representatives.
- Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:
Responsibilities:
Business Operations
- Maintains a comprehensive understanding of clinical and administrative operations including: clinical and diagnostic criteria, symptom profiles, access management, Utilization Review, scheduling, registration; financial counseling, authorization referral and billing coding functions, denial management.
- Ensures smooth daily operations of the business unit within the Service Line focusing mainly on acute services, but assisting all areas of the service line.
- Appropriately troubleshoots problems and proactively identifies issues and develops recommendations for resolving issues.
- Ensures adequate staffing of functions within scope of team.
- In conjunction with the physician and service line leaders, develops departmental goals and objectives.
- Establishes and implements policies and procedures for improvement in access and business operations that align with LG Health and external stakeholder practice standards.
- Involves appropriate parties in unit analysis and decision-making.
- Proactively identifies potential effects or impact of decisions and develops contingency plans as needed.
- Independently identifies needs for structural and other significant changes within business operations and aligned initiatives.
- Compiles data to support needs and develops recommendations for review with physicians and leadership.
- Upon approval, prepares implementation plans and coordinates facilitates all implementation activities.
- Monitors changes and makes adjustments as necessary. Evaluates and reports impact of changes.
- Coordinates and actively participates in marketing of the service line.
- Supports new physician development including clinical and administrative documentation standards and administrative requirements and orientation.
Financial Management
- With assistance from leadership, develops annual operating budget relative to denial management and cash flow.
- Understands and implements revenue cycle process and workflows at the unit level.
- Analyzes monthly income and expense reports.
- Identifies major trends and explains variability.
- Prepares budget variance reports and develops action plans, as appropriate.
- Manages unit expenses and reviews monthly accounting reports for accuracy.
- Identifies potential savings for the service line.
- Reviews service line operations, activity and financial reports with physicians.
- Clinical Quality and Outcomes
- Assures compliance with regulatory agencies. Participates in quality improvement initiatives to improve clinical outcomes. Monitors patient satisfaction and develops action plans as appropriate.
- The following duties are considered secondary to the primary duties listed above:
- Other duties as assigned.
Minimum Required Qualifications:
- Bachelor’s degree, or completion of Bachelor’s degree within two 2 years of hire, in Business, Healthcare Administration or a related field is required.
- Five 5+ years for medical practice healthcare exp
- Five 5+ years for billing, financial reporting, data entry, scheduling, referrals auths, or check in out
- Three 3+ years for prior management experience.
Preferred Job-related Experience
- Master’s degree in Business Administration, Healthcare Administration or related field.
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.