Company

Penn Medicine Home Health

Summary

POSITION SUMMARY: Works closely with the administrative and physician leadership in the development and management of the programs and services for which they oversee. This management position will be responsible for oversight of the uniquely designed environment to create a patient experience that is personalized, coordinated, while providing an avenue for quick quality care when the customer wants it.

This management position is responsible for the coordination of administrative duties related to the daily operations and strategic planning for programs and services. Ensures compliant and accurate billing, prepares and submits month end reports. Assists management staff and physicians in establishment and maintenance of clinical inventory while maximizing cost effectiveness. Supervises support staff involved with inventory, billing and charging. Supervises clerical staff and provides guidance as needed.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Maintains administrative oversight for the service locations. Ensures coordination of administrative needs between various other services as needed.

• Oversees the strategic planning as it relates to program services along with program development, forecasting and planning.

• Assists in planning, directing and coordinating activities related to the procurement, storage and distribution of supplies necessary in the support of patient care. Identifies, analyzes, interprets and acts on problems in the Center related to supply acquisition and expedition and costs.

• Assists with preparation of the budget for the service location. Responsible for maintaining outpatient supply budget and investigating variances. Analyzes and reports trends and variances to the Management Team on a monthly basis.

• Guide and direct the implementation of special projects related to implementation of new services offered at service location. Coordinates resources, provides project leadership and direction, gives guidance to project teams, identifies any problems in critical pathways, and facilitates team work among services required for the effective implementation of the project.

• Orients, directs, and supervises financial support staff for service location including billing, charging, and clerical staff. Coordinate, supervise, and schedule billing and clerical staff.

• Coordinate Collection Agency Acct Review, injectable billing review, Fatal Error Report review, Patient Dismissal Support, Member Atlas/Epic Committee.

• Provides administrative support to service location leadership team.

• Manages physician, midlevel, billing and clerical staff schedules to support outpatient services. Coordinates and assures the after hour’s on-call answering service with Medical Bureau.

• Collects and reports monthly data regarding practice history, productivity, billing, financial summary, etc…

• Manages and oversees insurance pre-certifications, authorizations, requests for medical records, and insurance issues in the outpatient practice.

• Maintains Charge Description Master (CDM) files; review and approve any additions, changes or deletions to/from the CDM.

• Acts as a resource for the service center personnel in follow-up of insurance denials for coding issues and with establishing new procedures/charges. Serve as a liaison between PFS and service location. Develops and implements ongoing coding/documentation training for all designated personnel and assess appropriateness of outside educational opportunities.

• Develops and monitors process for ensuring that all required coding changes/billing changes actually occur.

• Performs audits on outpatient accounts to ensure appropriateness of charges billed.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Develops policies and procedures for service location practices as they relate to the outpatient operations, billing, and charging.

• Orders office supplies within budgeted allowances and inventory control.

• Able to function in all clerical positions; scheduling patients, answer phones, check-in and check-out, process x-ray requests for records, billing and coding as needed.

• Other duties as assigned.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• High school Diploma or Equivalent.

• Bachelor’s degree in Business or Healthcare Administration or related field or equivalent experience.

• Three (3) years’ experience in a supervisory or management role in a physician practice or related management experience.

PREFERRED QUALIFICATIONS:

• Master’s degree in Business Administration (MBA), Healthcare Administration (MHA) or related field.

• Three (3) years’ experience with business management, coding and billing.

• Certified Professional Coder (CPC).

COGNITIVE REQUIREMENTS

Attention/Concentration:

• The position requires the ability to attend to more than one aspect of a situation simultaneously. It is highly likely that multiple task demands are going to be required of the individual at the same time.

New Learning and Memory:

• The position requires that an individual be able to learn new tasks quickly and effectively. Job requirements change frequently. The ability to understand and carry out detailed, involved instructions in mandatory.

Problem Solving, Reasoning and Creative Thinking:

• The position deals with issues or problems that often require thoughtful reasoning before arriving at approaches or solutions. Some independent thought, planning or origination of options and solutions is necessary. The individual must have the ability to apply principles of reasoning and problem solving to resolve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

APTITUDES: The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act:

Leadership, control and planning: Ability to accept responsibility for leadership, direction, control, planning, negotiating, organizing, directing, supervising, formulating practices, or making final decisions.

Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job.

Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.

Communication: Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.

Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.

EQUIPMENT USAGE REQUIREMENTS

Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies

Software: Microsoft Office Products, Department specific software

PHYSICAL REQUIREMENTS

Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

Body Position/Movement :

• Sit: Frequently

• Stand: Frequently

• Walk: Frequently

• Bend: Rarely

• Push: Rarely

• Pull: Rarely

• Kneel/Squat: Rarely

• Reach: Rarely

• Twist: Rarely

• Balance: Rarely

• Climb: Rarely

Lifting: Degree of physical exertion is :

Moderate , exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Sensory Abilities specifically required:

• Vision

• Hearing

PHYSICAL ENVIRONMENT

WORKING CONDITIONS: Position involves exposure to the following harmful elements:

• Bio hazardous Waste

• Blood borne Pathogens

• Chemicals

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.

Benefits At A Glance:

• Medical, Dental, Vision and on-site Pharmacy plans to meet individual and family needs

• 100% Tuition Assistance at Pennsylvania College of Health Sciences (role dependent)

• Flexible Spending and Health Savings Accounts (FSA & HSA) to further reduce taxable income and empower your healthcare choices

• Retirement Plan savings (403b) with employer match and annual employer contribution

• Employer paid Short & Long Term Disability and Life Insurance

• Employee Assistance Program (EAP) and other Wellness incentives

Disclaimer

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

PENN MEDICINE LANCASTER GENERAL HEALTH, a member of the University of Pennsylvania Health System (Penn Medicine), is a not-for-profit health system with a comprehensive network of care encompassing Lancaster General Hospital (LGH), Women & Babies Hospital and the Lancaster Rehabilitation Hospital (a partnership with Kindred Healthcare). We are an Accredited Trauma Center-Level I through the Pennsylvania Trauma Systems Foundation with 805 Licensed beds. Our membership in Penn Medicine brings together the strengths of a world-renowned, not-for-profit academic medical center and a nationally recognized, not-for-profit community healthcare system.

Outpatient services are provided at the Downtown Outpatient and Suburban Outpatient Pavilions, along with additional outpatient centers and Express and Urgent Care locations throughout the region. Lancaster General Health Physicians is a network of more than 300 primary-care and specialty physicians, at more than 40 offices throughout the region.