Job Summary

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.

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.
• Performs the above-mentioned activities of the revenue cycle to insure cost effectiveness and organizational efficiency.
• Furthermore, this position 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.
• Involved, 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.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years).

Position Details

Work from home (Pennsylvania) with requirement to attend meetings in office, Harrisburg, PA.

Education

High School Diploma or Equivalent (GED)- (Required)

Experience

Minimum of 4 years-Relevant experience* (Required)

Skills

Regulatory Environment - Financial Services; Communication; Multitasking; Group Problem Solving; Teamwork; Computer Literacy

About 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.

Our Commitment to Diversity, Equity and Inclusion

Geisinger values who you are, where you are from, and where you are going. We seek out people of various backgrounds and cultures with unique abilities, non-traditional career paths and ambitious aspirations. We are an Affirmative Action, Equal Opportunity Employer. Women and Minorities are encouraged to apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. Read more about Our Commitment to Inclusive Recruiting.

Our Vision & Values

Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.

EXCELLENCE: We treasure colleagues who humbly strive for excellence.

LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.

INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

Our Benefits

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