124010 Mgr Revenue Cycle

About the role

This position is responsible for all Surgery Revenue Cycle front end billing issues, including charge interface, charge description, master dictionaries, billing exceptions and edits, and all contracted payment accounts. The scope includes all professional and hospital Surgery Services (diagnostic, therapeutic, or surgical) performed or billed through Penn Medicine managing approximately 1,500,000 annual patient encounters. The role scope includes oversight of charge description master maintenance, education, systems integrity and metrics analysis, and revenue capture. Oversees teams to ensure established Revenue Cycle guidelines, policies and procedures are followed in order to maintain the integrity of information utilized for scheduling, registration, coding, billing, accurate claims submission and revenue recognition. Researches and creates strategies and workflows for payment of new and emerging technologies. Work with all departments to maintain a high level of charge integrity, maintain expected charge lag, and enhance reimbursement and decrease denials. Provides overall support and management of assigned associates with responsibility for quality improvement activities and meeting client/customer/stakeholder service expectations. Directs the efforts of others in the achievement of the strategic and operational objectives of the group. Work with all departments to maintain a high level of patient data integrity, enhance reimbursement, decrease patient wait time, and address any and all patient revenue/reimbursement issues. Administers health system policies and procedures related to areas of responsibility. Determines opportunities for improvement and facilitates process improvement teams to affect change in order to achieve revenue cycle best practices and ensure consistency and compliance throughout Penn Medicine Surgery departments. Manages the hiring, staffing and maintaining of a diverse, engaged, and effective