Service Line Specialist Revenue Management (Eastern Standard Time Zone resident)

Job Duties

• Performs hospital and professional billing and collection functions within the revenue cycle to include, but not limited to hospital and professional billing and collection functions, hospital and professional secondary collections, Accounts Receivable resolution, adjustments, credit balance resolution, revenue enhancement and cash flow for the various clinical service lines.
• Executes these functions in regards to how their function inter-relates to the other revenue cycle functions and all of the various third party payers associated with the clinical service lines.
• Communicates their functional activities to their leader of respective functional area and Revenue Management senior management of Geisinger as it relates to billing, insurance follow-up, cash flow, cash application, revenue enhancement, organizational profitability, customer service, accounts receivable results and revenue management service line results.
• Works in conjunction with other areas to insure coordinated activities with respect to all revenue cycle needs.
• Provides job specific training for all revenue management employees in regards to specific functions and communicate ongoing improvements relative to process improvement and service line development.
• Involves, when required, in the development of various revenue management and strategic plans.
• Develops, implements, and directs various quality initiatives to insure continuous monitoring and improvements within the revenue cycle process.
• This includes performing overall departmental operating functions within pre-determined limits and within Freedom-To-Act guidelines to insure operational efficiencies and obtaining pre-determined performance and quality targets.
• Facilitates of various technological initiatives in support of business process improvements with respect to all revenue cycle functions and the various service lines.
• Assists in the recruitment, orientation, and training of new Revenue Management Specialists to further the department goals.
• Provides analysis to supervisor and manager of trends and issues identified while performing job functions.
• Makes recommendations to correct issues identified.
• Implements corrective action and monitors results of the action.

About the Role

Provides the necessary functions to bill, collect, analyze, and adjudicate hospital and billing and collection functions for all clinical service lines. This position executes and performs programs to insure efficient operations in order to generate sufficient cash flow to support operations and strategic initiatives. In the position of Service Line Specialist Senior Revenue Management responsibilities include billing and collecting for all third party insurance payers adjustment functions, adjudicating, identifying, analyzing, reducing and resolving various revenue enhancement, and credit balance issues associated hospital accounts receivable and insuring monthly cash flow for the previously mentioned service lines. These responsibilities further include the management of a portfolio of accounts consisting of accounts per Revenue Management Service Line Specialist and/or the processing of claims.

Qualifications

• Minimum of 3 years-Related work experience (Required)
• Education: High School Diploma or Equivalent (Required), Associate's Degree- (Preferred)

Skills

• Computer Literacy
• Teamwork
• Communication
• Regulatory Environment - Financial Services

Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.

Geisinger

Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.