Patient Financial Services - Associate II

SHIFT:

Day (United States of America)

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

Make an Impact Where Finance Meets Care
In this role, you’ll play a critical part in strengthening CHOP’s financial health while directly supporting exceptional patient care. You’ll analyze denied claims, lead appeal efforts, and verify patient coverage to ensure accurate reimbursement—helping optimize revenue and improve processes across the revenue cycle. A key focus of the role includes reviewing Behavioral Health claims, ensuring services are reimbursed appropriately and care delivery is fully supported.

You’ll collaborate with cross-functional partners across finance, clinical operations, coding, and revenue cycle teams, gaining end-to-end exposure to the claims lifecycle. Your work will directly contribute to CHOP’s ability to fund and deliver world-class pediatric care.

This role also invests in your growth: you’ll receive a complimentary Healthcare Financial Management Association (HFMA) membership, providing access to nationally recognized training, expert-led learning, and industry certifications to advance your career.

Why This Role Is Exciting

High Visibility, High Impact

Serve as a trusted financial partner, supporting Nursing and operational leadership—from Unit Leaders to the Senior Vice President and Chief Nursing Officer—on decisions that influence reimbursement and financial performance. You’ll gain exposure to payer contract structures and strategies that maximize reimbursement.

Strategic Collaboration

Work closely with clinical, operational, coding, and finance leaders to drive alignment, improve outcomes, and strengthen payer relationships.

Mission-Driven Work

Your expertise will directly support CHOP’s mission to deliver exceptional care to children and families—making a meaningful difference every day.

Growth & Development

CHOP is deeply invested in its people, offering leadership development, professional learning opportunities, and long-term career advancement.

Community & Purpose

Participate in enterprise-wide volunteer opportunities and patient-focused initiatives that allow you to contribute beyond your day-to-day work.

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What You Bring

• Financial & Analytical Expertise: Experience in financial planning, analytics, budgeting, labor productivity, or reimbursement within a hospital or healthcare setting; exposure to clinical operations is a plus.
• Improvement Mindset: A passion for operational excellence, data-driven decision-making, and continuous improvement.
• Collaborative, Service-Oriented Approach: Ability to partner effectively with diverse stakeholders and deliver solutions that balance financial and operational needs.
• Strong Values: A commitment to integrity, quality, teamwork, and meaningful organizational impact.

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Work Environment & Flexibility

• Hybrid Schedule: Work remotely four days per week with one onsite day at the Cira Centre (2929 Arch Street, Philadelphia).
• Remote-Friendly Hours: Monday–Friday, 8:00 a.m.–5:00 p.m., supporting work-life balance.
• Purposeful Onsite Time: Periodic in-person collaboration to strengthen relationships, plan strategically, and support operational needs.
   

What you will do

• Submits timely, accurate claims to insurance carriers according to insurance payor guidelines through established methods and procedures using current available technology.
• Resolve patient insurance balances by analyzing denials and using critical thinking skills and knowledge of payer requirements to determine the steps needed to obtain payment. Work in either No Pay No Response, Denial work queues, or both.<