Job Title: Revenue Management Service Line Specialist
Location: Buckhorn Office Building
Work Type: Full Time
Hiring Manager: Tamara Dickey
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/OR EXPERIENCE:
Associate’s or Bachelor’s degree in business, finance, accounting, or related Healthcare field required.
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.
Minimum of two years as Revenue Management Specialist required.
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 considered necessary to successfully perform the job.
The specific statements in this profile are not intended to be all-inclusive. They represent typical elements 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.
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. 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 onFacebook, Instagram, LinkedInand 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.