Provider Enrollment Coordinator
SHIFT: Day (United States of America)
About the Role
Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.
The Specialist will lead projects and support the leadership team as a Subject Matter Expert in their field. The Specialist will handle complex issues, investigate denials, identify trends, and hold inter-departmental relationships. The Specialist will maintain internal controls, manage specialized functions and work queues, and provide support for special projects. The position requires handling requests from multiple sources, managing multiple deadlines, and acting as a troubleshooter to resolve issues as they arise. Must be committed to bringing projects to completion timely and identifying trends, root causes, and efficiency opportunities.
Responsibilities
- Acts as subject matter expert in their department, manages projects to timely completion, troubleshoots issues, and maintains accurate and compliant workflows.
- Holds inter-departmental relationships within PFS and outside of PFS; manages assigned workflows and work queues associated with these relationships and is the primary communicator with the department for any improvement opportunities.
- Monitors work queues assigned as their responsibility, meeting established production and quality standards for the assigned tasks.
- Specific focus is project oriented. Identify trends, training opportunities, denial prevention initiatives, and maintaining internal controls for the department.
- Performs workflow analysis, documents workflows, and testing planning in support of department’s strategic and operational objectives.
- Stays current on regulations and industry standard trends to ensure CHOP is compliant.
- Responsible for creating presentations and data analytics to drive change and improvements.
- Documents processes to help keep revenue cycle stakeholders informed and identify optimization opportunities.
- Other duties as assigned.
Requirements
- High School Diploma / GED - Required
- Bachelor's Degree - Preferred
Qualifications
- At least three (3) years of work experience in healthcare billing or collections environment or other related role - Required
- Demonstrated success in resolution of patient accounts; demonstrated ability to identify trends and complete assignments timely - Required
- At least one (1) year of coding experience - Preferred
Skills
- Strong math aptitude (Required proficiency)
- Excellent organizational skills (Required proficiency)
- Clear and concise decision-making skills (Required proficiency)
- Leadership skills (Required proficiency)
- Detail oriented (Required proficiency)
- Strong interpersonal skills (Required proficiency)
- Excellent writing and oral communication skills (Required proficiency)
- Ability to work independently; results oriented (Required proficiency)
- Ability to handle confidential matters (Required proficiency)
- Flexibility to work overtime as needed/required (Required proficiency)
- Experience with personal computers including Excel (Required proficiency)
- Experience with Epic system (Preferred proficiency)
Licenses and Certifications
- Certified Coding Specialist (CCS) - AAPC, AHIMA - upon hire - Preferred
- Certified Coding Specialist-Physician-Based (CCS-P) - AAPC, AHIMA - upon hire - Preferred
- Certified Professional Coder (CPC) - AAPC, AHIMA - upon hire - Preferred
- Certified Professional Coder Apprentice (CPC-A) - AAPC, AHIMA - upon hire - Preferred
Pay
Salary range: $30.25 - $38.55 hourly. Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.