Business Services Supervisor:

Philadelphia Pennsylvania

Req ID: 17742

Shift: Days

Employment Status: AF - Active - Regular - Full Time 

Job Summary

Supervises all activities in the Billing Operation.  Responsible for billing activities and results, including billing of claims  through oversight of work assignments, communication with third party payors, analysis and resolution of billing, coding,  issues.  Audits methods and procedures of Patient Financial Services functions to improve efficiency and ensure compliance with organizational and governmental regulations.  Establishes implements and monitors quality and productivity performance measures, and has full authority over the billing staff.   

Responsible for conducting process improvement assessments of revenue cycle operations in clinical areas to meet the needs of both internal and external customers. Functions as the project manager of the “Revenue Assessment Team” for assessments in assigned departments or clinical areas.  Analyzes the assessment results, develops recommendations for process improvement, and monitors the results of implemented changes. Works with the PARC departments, Information Technology, and other clinical/operational areas to implement the process improvement strategies. Functions as a resource to the Business Office and assigned revenue-generating clinical areas in the correlation of clinical services provided and the subsequent billing that must occur. Conducts Third Party Payer and other chart/bill audits as requested by external customers. This position will include assisting in any education and training that may be needed related to charge capture, coding, documentation, and the reconciliation process.

Job Responsibilities

Supervises operational staff responsible for various patient and third-party insurance Payment posting functions.

  • Establishes and monitors quality and productivity standards.  Measures performance; addresses improvement opportunities with staff.
  • Monitors the daily performance of all Payment Postings function to ensure compliance with all financial and operational goals.
  • Participates in the annual written employee performance review process.
  • Monitors staff attendance and time-off to ensure adequate coverage within the departments.
  • Hires and orients new staff; trains new and existing staff, as necessary.


Collaborates with Patient Access, Registration, Audit & Compliance, Specialty Centers, and other areas of Business Services to ensure that payment posting flows efficiently and effectively. 

  • Oversee operations including cash posting and adjustments, resolving credit balances, reconciling cash and general ledger, payment transfers, return checks and remit & adjustment code mapping. Identifies root cause of reimbursement barriers with high degree of organizational impact and risk; interacts with various entities of CHOP to resolve issues. 
  • Works with internal and/or external auditors to ensure compliance with organizational and governmental policies and procedures.
  • Audits methods and procedures of payment posting functions to improve efficiency.
  • Responsible for providing excellent service and making sure other members of staff present the same positive and helpful image.


Performs trending and analysis of Payment Posting.

  • Responsible for the timely and accurate research and posting of assigned remits to ensure that payments and/or adjustments are correct and appropriately applied to patient accounts.
  • Maintains working relationships with operating personnel of other departments concerned with guarantor accounts, primarily for the purpose of giving and obtaining information and working jointly on guarantor problems.
  • Liaise with our outside vendors to deal with system issues such as Trizetto, InstaMed, ChangeHealthcare/Emdeon, ECHO Health, and PaySpan. 



Job Responsibilities (Continued)

Establish and maintain month end reconciliation process, which includes auditing standards to ensure all payments are applied timely and accurately.

  • Work closely with Finance to produce reports including month end.
  • Ensures credit card policies are enforced and maintained with employees.
  • Researches along with appropriate personnel any issues with cash collection at the off sites.
  • Researches along with appropriate personnel unidentified cash, undistributed work queues and payor denials.
  • Works with PARC support for any system issues/enhancements necessary.


Responsible for on-boarding new electronic payors.

  • Responsible for researching and resolving issues with the hospitals lockbox provider when files are late/missing.


Establishes written policies and procedures governing operational workflow.

  • Maintains sound working knowledge of current industry concepts and practices.
  • Develops written policies and procedures based on best practices within the industry. 
  • Periodically reviews policies to ensure applicability to and compliance with current operational standards.


Proactively identifies and resolves operational and system problems or issues. 

  • Recommends enhancements to the current workflow that will help to streamline the operation and provider greater service at a lower cost.
  • Establishes and maintains work standards for quality and quantity of work with an emphasis on good customer service and reduced complaints; develops and recommends  improvements to work flow, internal procedures, or forms design and usage.


General administrative responsibilities include, but are not limited to:

  • Conducts staff meetings, interdepartmental and intradepartmental in-services as needed.
  • Maintains staff time records and employee files.
  • Budgets resources; ensures equitable distribution of work assignments. 


Performs other duties as assigned by Business Office Management. 

Required Licenses, Certifications, Registrations

Required Education and Experience

Required Education: Bachelors                                                                          


Required Experience:

  • Minimum 2 years work experience in a healthcare reimbursement environment.
  • At least 2 years supervisory experience.

Preferred Education, Experience & Cert/Lic

Preferred Experience: EPIC experience


Preferred Licenses/certificates/registrations: Certified Revenue Cycle Representative (CRCR)

Additional Technical Requirements

  • Must possess strong understanding of insurance process/ procedures.

  • Excellent interpersonal & communication skills, and demonstrated organizational and leadership abilities.

  • Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques.

  • Ability to work independently towards specific goals and objectives and provide recommendations for improvement.

  • Knowledge of computers, specifically healthcare, and spreadsheet applications.

All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products or nicotine in any form and a negative nicotine screen (the latter occurs after a job offer).

Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

VEVRAA Federal Contractor/Seeking priority referrals for protected veterans.  Please contact our hiring official with any referrals or questions.

CHOP Careers Contact 

Talent Acquisition

2716 South Street, 6th Floor

Philadelphia, PA 19146 

Phone: 866-820-9288 

Email:[email protected]



Basic Qualifications