Job Details

Clinical Revenue Integrity Coordinator

Job Description

Supports Physician Advisor team, completing insurance calls & documenting accordingly, managing coverage/staffing schedule and submitting reimbursement for payroll & CME. Functions as a bridge between the Physician Advisor and Utilization Management teams, supporting UM by utilizing RCE resources. Demonstrates strong collaboration with all professional disciplines & key stakeholders within the Clinical Revenue Integrity team to ensure effective and efficient achievement of desired outcomes. Also provides administrative support to the Jefferson Health Medical Director & Jefferson Health Utilization Management Director, having oversight of each calendar, preparing data & metrics for presentations, as well as generating new analytical reports when needed for education and network reporting purposes.

ESSENTIAL FUNCTIONS:

• Works under the direction of Medical Director & UM Director to assist with design/development/production of education materials, spreadsheets, presentations, reports and e-learning modules.
• Analyzes existing PA/UM work processes and works in tandem with key stakeholders in the process to optimize and streamline all processes for efficiency and effectiveness.
• Maintains select evaluation and architecture of data on program usage metrics working to analyze and optimize all outcomes relating to revenue, reimbursement and related education.
• Performs activities to support coordination, scheduling & preparation for educational programs.
• Maintains management data, program calendars, a catalog of program resources including for faculty use, as well as coordinating use of all resources by key stakeholders.
• Prepares presentations for PA/UM meeting needs, keeps minutes up to date, coordinates all activities related with meeting needs.
• Maintains administrative support to Medical Director & UM Director, including assistance with scheduling/calendar management, budgetary input as warranted, and special pay/payroll related needs.

QUALIFICATIONS:

Education - Required Bachelor’s Degree Business Administration, Organizational Development, Education, Health Care Administration or Marketing Experience - Required 4 years as an office coordinator or in the area of project coordination and/or managerial experience.

Experience - Preferred 1-year previous office and/or programmatic management/leadership experience.

Clinical Revenue Integrity Coordinate… 1/3 Knowledge, Skills and Abilities - Required Excellent computer skills, including proficiency with MS Office, clinical systems and data collection. Proficient typing speed of 60-80 WPM.

Demonstrated initiative and ability to function autonomously, as well as interdependently, while prioritizing appropriately. Ability to initiate, accept and adapt to change. Strong problem solving skills and brainstorming toward usable solutions. Exceptional ability to multitask and handle interruption with ease. Ability to perform in a dynamic, fast-paced work environment while demonstrating poise & professionalism in all interactions.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University

Primary Location Address

1101 Market, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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