The Children's Hospital of Philadelphia Global Medicine Business Operations Coordinator in Philadelphia, Pennsylvania

Req ID: 14075 Shift: Days Employment Status: AF - Active - Regular - Full Time JOB SUMMARY Under the direction of the Global Medicine Business Manager, the Operations Coordinator supports Global Medicine, specifically providing administrative support and coordination for Global Medicine reporting and data analytics, Global Patient Services financial clearance, and serves as an administrator for all vendor procurement. Following established operational guidelines and practices; the coordinator prepares scheduled and ad-hoc reports and provides guidance and training necessary to increase the accuracy of all IPS Epic and Salesforce patient registration data. This position will assist the Global Medicine Business Manager in documenting processes and procedures and training other Operational and Financial staff. JOB SUMMARY CONT. The Operations Coordinator is responsible for daily patient financial clearance operations of the department. The Global Medicine Operations Coordinator will handle all communication surrounding patient responsibility, verification, authorization and identification of covered and non-covered services, explanations of benefits structures, as well as necessary follow-up with families, providers, and payers regarding: referral issues, authorization questions, FHCC eligibility as well as a host of other insurance eligibility and patient responsibility issues. The position is responsible for developing financial agreements and cost estimates for Global self-pay and non-par Global insurance patients. This position will have direct interaction with patient families, as well as internal and external business partners. The Coordinator performs administrative duties for all patient related vendor purchases, ensuring appropriate authorization, timely vendor payment and ensuring all necessary documentation available to the billing department for proper Embassy billing. She/he provides logistical support when needed in obtaining authorized equipment or medication and develops communication tools for internal and external distribution. The Coordinator serves as a central point of contact for internal and external question/queries regarding procurement; including but not limited to vendors, accounts payable, billing and Embassies. JOB RESPONSIBILITIES 1. Prepares, reviews and audits reporting for Global Medicine data sources, including but not limited to Epic and Salesforce. 2. Leads daily operations of global patient financial clearance process 3. Reviews Global Insurance patients coverage, benefits, authorization requirements and financial responsibility. Communicates coverage, benefits and financial responsibly to patient. Obtains required authorization prior to services being provided. 4. Develop Cost Estimates for highly complex Global Self-Pay cases and others as requested 5. Develop, manage and document single case agreements with non-par Global Insurances and Payers JOB RESPONSIBILITIES CONT. 6. Communicates financial responsibility, expectations and process to families, payers and shareholders 7. Performs administrative duties for all patient related vendor purchases, ensuring appropriate authorization, timely vendor payment and ensuring all necessary documentation available to the billing department for proper billing 8. Provides Salesforce and Epic administrative support and training to new IM staff 9. Other tasks as needed in support of the Business Manager or Director