Provides the necessary functions to bill, collect, analyze, and adjudicate all hospital and professional billing and collection functions within the system. This position executes and performs programs to ensure efficient operations in order to generate sufficient cash flow to support operations and strategic initiatives. Responsibilities include cash application for all third party insurance payers, application of all patient payments, adjudicating, identifying, analyzing, reducing, and resolving various revenue enhancements and credit balance issues associated with hospital and professional accounts receivable and monthly cash flow. These responsibilities include processing of all cash payments, adjustments, and denials prior to the month-end close and adjudication of all unidentified accounts within the applicable systems. Is responsible for reconciliation and balancing functions for all manual, electronic, and bank deposit payers on a daily basis.
Job Duties Performs all hospital and professional cash application functions within revenue management.Performs all hospital and professional balancing activities and ensures that all payments received, either electronically or manually, equals the overall bank deposits as reported.Performs the above-mentioned activities of the revenue cycle to ensure cost effectiveness and organizational efficiency.This position executes these functions within the structure and in regards to how their function inter-relates to the other revenue management functions within other departments and various third party payers.Works in conjunction with other areas in revenue management and Geisinger to ensure coordinated activities with respect to all revenue management needs.Develops, implements, and directs various quality initiatives to insure continuous monitoring and improvements within the revenue cycle 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 various technological initiatives in support of business process improvements with respect to all revenue cycle functions and the various service lines.Participates in a minimum of eighty hours of classroom training per year.Assists with the establishment of a training school and provide job specific training for all revenue cycle employees in regards to specific functions, communicate ongoing improvements relative to process improvement and service line development.Assists with the reduction of AR utilizing the review of rejections for missing modifiers, enrollment issues, and new rejections codes.Reviews and researches account to ensure AR resolution.Responsible for the preparation of training manuals and procedures.Prepares documents for scanning to ensure that remittances are available for reference for the entire Revenue Management staff.
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).
Internet requirements:
Employee required to have/supply: Cable modem, (high speed, only - No DSL or Wireless Cellular Service or Satellite Service) The minimum requirement is:
•25 MBPS UP•75 MBPS DOWN•<150 ms Ping Required•<30ms Jitter RequiredComputer must be connected to the internet via Ethernet cable; wifi is not permitted unless a Virtual Private Network (VPN) is used for the wifi connection
Education High School Diploma or Equivalent (GED)- (Required) Experience Minimum of 7 years-Relevant experience* (Required) Skills Computer Literacy; Communication; Teamwork About GeisingerFounded 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 InclusionGeisinger 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 & ValuesEverything 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 BenefitsWe offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.