Job Summary

Provides the necessary functions to bill, collect, analyze, and adjudicate all hospital and professional accounts and functions. This position executes and performs programs to insure efficient operations in order to resolve credit balances to support operations and strategic initiatives. In the position of Credit Balance Specialist II, responsibilities include resolving credits for all patients and third party insurance payers, cash application, adjudicating, identifying, analyzing and associated with hospital and professional accounts.

Job Duties

• Performs all hospital and professional credit balance for various payers and cash application functions within the revenue management to include, but not limited to hospital and professional billing, charge corrections, cash application, credit balance resolution, revenue enhancement and cash flow for various service lines.
• Performs the above-mentioned activities of the revenue management to insure cost effectiveness and organizational efficiency.
• Furthermore, this position executes these functions within the service line structure and in regards to how their function inter-relates to the other revenue management functions and all of the various third party payers associated with the service lines..
• Understands and strives to meet Revenue Management targets, decrease overall AR over 90 days, increase cash and effectively works through and assists patients and providers with the Discounting Policies and Bad Debt Policies.
• Advises management of any unusual development or operational problems within area of responsibility and make recommendations for process improvement within the department.
• Gains and maintains a working knowledge of a minimum of two payers and CBT staff’s duties to be able to offer assistance to other co-workers as necessary.
• Provides training for new or established staff as assigned.
• Conducts research and follow-up activities on assigned accounts according to established procedures and time frames.
• Assists in maintaining control over aged accounts Responsible for maintaining a working knowledge of Revenue Management related software.
• Develops, implements, and directs various quality initiatives to insure continuous monitoring and improvements within the revenue management process of Geisinger.
• 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 targets.
• Facilitates of various technological initiatives in support of business process improvements with respect to all revenue management functions and various service lines.
• Works in conjunction with other areas within the revenue management and Geisinger to insure coordinated activities with respect to revenue management credit balance AR and team needs.

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).

Education

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

Experience

Minimum of 4 years-Relevant experience* (Required)

Skills

Computer Literacy; Mathematics; Teamwork; Communication; Organizing

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.

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.

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.