Operations Support Associate (Business Operations)

SHIFT:

Seeking Breakthrough Makers

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.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

What you will do

• Responsible for review and processing of Guarantor, Patient, and Third Party Communications handling of all mail and correspondence for the Business Office and Finance areas

• Self-Pay Account Review and Servicing (phone/letter/email)

• Handling of all mail and correspondence for the Business Office and Finance areas

• Receives and works correspondence within department guidelines.

• Records release and processing

• Responsible for full comprehension of CHOP revenue cycle work design including registration, billing, payment posting, account receivable follow up, and compliance actions.

• Demonstrates quality and effectiveness in work habits in every interaction with, colleagues, and leadership.

• Provides training as assigned to new employees, as well as cross training.

• Interfaces well with all levels of staff and management.

• Meets established daily/weekly reasonable work expectation of productivity and quality requirements

• Maintains all PHI in accordance with HIPPA, JACHO, third party contractual agreements along with CHOP policy and procedures.

• Demonstrates behaviors that are consistent with CHOP's organizational values of Integrity, Compassion, Accountability, Respect and Excellence (ICARE). Ensures work is performed, relationships are built, responsibility is assumed, and service delivered expresses the CHOP's values through action.

• Ability to communicate effectively and collaborate with teams across Patient Financial Services and other departments around operational efficiencies. Provide recommendations for corrective action to management team to ensure efficiency of the revenue cycle.

• Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.

• Consistently supports compliance by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations.

• Clerical support functions as needed, including other duties assigned within scope of responsibilities.

• Accurately enter, update, and maintain data across multiple insurance payor portals

• Verify information for completeness, accuracy, and compliance with payor requirements.

• Maintain knowledge of current insurance rules and regulations

• Contact payors to assist with portal setup, access, and issue resolution

• Monitor and manage tickets related to payor portal requests and updates; follow up for additional information as needed

• Maintain and manage the Business Operations team mailbox and ServiceNow ticket queue, ensuring timely responses and resolution of requests.

• Identify trends or recurring issues and escalate to management when necessary

• Communicate effectively and collaborate with teams across the organization

• Perform other duties as assigned within the scope of responsibilities

Education Qualifications

• High School Diploma / GED Required
• Associate's Degree Preferred

Experience Qualifications

• At least one (1) year Operations, Customer Service or Support Services experience Required
• Experience in Healthcare Collections Preferred

Skills and Abilities

• HIPAA compliance standards (Required proficiency)
• Basic Computer skills (Required proficiency)
• Excellent oral and written communication skills (Required proficiency)
• Microsoft Word / Excel (Required proficiency)
• Effective communication, interpersonal skills, analytical skills, and problem solving skills. (Required proficiency)
• Excellent organizational and time management skills. (Required proficiency)
• Demonstrated customer service skills, customer focus abilities and the ability to understand Children's Hospital of Philadelphia customer needs. (Required proficiency)
• Ability to work cooperatively in a team environment. (Required proficiency)
• Demonstrated effective interpersonal, verbal, and written communication skills. (Required proficiency)
• Must pass math test at proficient level. (Required proficiency)
• Must pass basic MS Word and Excel tests with 70% accuracy. (Required proficiency)
• Must have 10-key by touch. (Required proficiency)
• Demonstrated experience with multiple computer applications (Required proficiency)
• Experience in using commonly used electronic health records and healthcare revenue cycle financial management systems. (Preferred proficiency)

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

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SALARY RANGE:

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

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At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.