| JOB TITLE: Revenue Management, Service Line Specialist LOCATION: Buckhorn Office Building DEPARTMENT: Finance WORK SCHEDULE: Days WORK TYPE: Full Time JOB SUMMARY: Provides the necessary functions to bill, collect, analyze, and adjudicate hospital and billing and collection functions for all clinical service lines with respect to the hospitals within the Geisinger Health System. This position executes and performs programs to insure efficient operations of the Geisinger Health System Revenue Management program in order to generate sufficient cash flow to support GHS operations and strategic initiatives. In the position of Revenue Management Service Line Specialist, 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 with 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 (Hospital) per Revenue Management Service Line Specialist (collector) and/or the processing of (Hospital) claims per month per Revenue Cycle Service Line Specialist (biller), with respect to the successful adjudication of claims. Reports to the Revenue Management Supervisor or the Revenue Management Manager. COMPETENCIES AND SKILLS: Demonstrates a strong working knowledge and understanding of federal, state, and other third party billing requirements including HCPCS, ICD9, HIPAA and medical terminology. Demonstrates strong presentation skills, with the ability to effectively communicate to many different audience levels. Demonstrates familiarity with multiple computerized applications (i.e. Siemens, IDX, Tower, Contract Manager, Cadence, Epic, Electronic Medical Health Record, ePremise, NaviNet, Artiva, etc.). Demonstrates ability to meet standards set forth for both productivity and quality of work. EDUCATION AND EXPERIENCE: Associate’s or Bachelor’s degree in business, finance, accounting, or related Healthcare field required. OR High School diploma or equivalent required. Minimum of three years relevant experience in a healthcare setting to include third party insurance training, credit and collection experience with a solid knowledge of insurance cover (Managed Care, Worker’s Compensation and No-Fault) required. OR Minimum of two years as Revenue Management Specialist required. WORKING CONDITIONS/PHYSICAL DEMANDS: Work is typically performed in an office environment. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to successfully perform the job. 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. ABOUT GEISINGER: One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. Geisinger is known for its focus on caring and innovative programs including the ProvenCare® best-practice approach to maximize quality, safety and value; ProvenHealth Navigator® advanced medical home; Springboard Health® population health program to improve the health of an entire community; ProvenExperience™ to provide refunds to patients unhappy with their care experience; and Geisinger’s MyCode® Community Health Initiative, the largest healthcare system-based precision health project in the world. With more than 215,000 volunteer participants enrolled, MyCode is conducting extensive research and returning medically actionable results to participants. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter. 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. ** 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. |
