WORK SCHEDULE:Days (M-F; 8:00AM – 4:30PM, no weekends or holidays)
WORK TYPE: Full Time (1.0 FTE)
Responsible for identifying root cause and effect issues that impact Revenue Management and the creation of credit balances. Possesses a fundamental understanding of the business unit and aids with User Acceptance Testing when necessary. Effectively prepares data in a comprehensive concise format. Presents topics to peers as needed. Maintains flexibility and adaptability as situations arise within the Revenue Management.
Performs duties to support the goals and objectives of the Geisinger Health System (GHS) in efforts to provide value to Revenue Management operations.
Serves as a contact and liaison between end-users, Revenue Management Training, and RMSS while often receiving direction from a more senior Revenue Management Manager or Director. Responsible to identify and implement corrective action plans for outstanding credit balance issues.
Provides documentation to support any process flow improvements and conduct monthly reviews of outstanding credit balance issues to Revenue Management staff.
Reports to the Manager, Credit Balance Department and AVP Revenue Management Integrity.
SPECIFIC POSITION DUTIES:
Serves as point of contact for credit balance projects and associated departments responsibilities and assists management in the establishment of operational processes.
Identifies insurance credit balance issues and works with or in conjunction with Revenue Management leadership and the insurance company in an effort to resolve issues and/or streamline processes.
Communicates the Credit Balance Team trends and complex issues to the RM Credit Balance management.
Must be willing to work weekends and holidays when necessary to complete deadlines for month end
Participates in team meetings, special projects and project initiatives
Works in conjunction with other areas within the revenue management and GHS to insure coordinated activities with respect to revenue management credit balance AR/team needs.
COMPETENCIES AND SKILLS:
Demonstrates the ability to effectively communicate in a positive and team oriented environment.
Demonstrates strong general understanding of personal computers, Microsoft Word and Excel.
Demonstrates excellent written and oral communication skills with all levels of staff/management within and beyond the organization.
Demonstrates knowledge of internal and external clinical/financial information systems.
Demonstrates abilities in analytical thinking for problem solving.
Demonstrates the ability to effectively interact in a team environment and with high-level management.
Demonstrates general understanding of the healthcare industry.
Demonstrates ability to multitask and manage simultaneous projects well with a strong attention to detail.
Demonstrates ability to be a highly motivated, self-starter with a customer service focus.
EDUCATION AND/OR EXPERIENCE:
Bachelor’s degree in Business, Mathematics, Computer Science Information Technology or other data relevant field required.
Associates degree in Business, Mathematics, Computer or other data relevant field required. Minimum three years professional work experience in a revenue management or report writing required.
In lieu of degree, five years of related business office or health care insurance processing experience required.
Extensive knowledge of the Revenue Management and/or regulatory requirements as they relate to hospital and professional revenue management operations is required. This experience should include the resolution for all types of issues that start with Scheduling and end in Billing/Collection (with respect to all third party insurance payers, patient related billing issues, revenue enhancement, and the cash application component for the various service lines contained within GHS and the revenue management). Significant experience with payers, providers, hospitals and physicians and an understanding of the commensurate requirements for facilitating accounts receivable resolution including cash flow, billing, collection, cash application and patient service related issues required.
Health Care Revenue Management Credit Balance resolution experience preferred. Revenue Management certification preferred.
Experience with IDX, BAR and Siemens applications required.
Minimum of one year to learn all job functions regarding job responsibilities and requirements.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
OUR PURPOSE & VALUES: Everything we do is about caring 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.
GEISINGER MEDICAL CENTER: (GMC), located Danville, Pa., the largest tertiary/quaternary care teaching hospital in the region, is licensed for 475 beds, including 89 pediatric beds in the Janet Weis Children’s Hospital. GMC, a Magnet Hospital, maintains the region’s only Level 1 Regional Resource Trauma Center with additional qualifications in pediatrics. GMC offers an array of highly specialized medical and surgical services, including neurosciences, cardiovascular services, transplantation, women’s health (in the Women’s Pavilion), oncology and orthopaedics. The Hospital for Advanced Medicine serves as an integrated center for the most critical patients. Outpatient services are available on and off campus.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. 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.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.