[Hiring] Service Line Specialist Revenue Management @Geisinger

Role Description

Provides the necessary functions to bill, collect, analyze, and adjudicate all professional and/or hospital billing and collection functions. Executes and performs programs to ensure efficient operations of the program in order to generate sufficient cash flow to support operations and strategic initiatives. Responsibilities include:

• Billing and collecting for all third-party insurance payers
• Adjustment functions
• Cash application
• Adjudicating, identifying, analyzing, reducing, and resolving various revenue enhancement and credit balance issues associated with professional and/or hospital accounts receivable
• Ensuring monthly cash flow
• Managing a portfolio of accounts with respect to the successful adjudication of claims on a monthly basis

Job Duties include:

• Performing professional and/or hospital billing and collection functions within revenue management
• Ensuring cost effectiveness and organizational efficiency
• Executing functions in relation to other revenue management functions and various third-party payers
• Communicating functional activities to leadership and senior management
• Coordinating activities with respect to all revenue management needs
• Participating in a minimum of sixty hours of classroom training per year
• Involvement in the development of various strategic plans
• Developing, implementing, and directing various quality initiatives
• Performing overall departmental operating functions within pre-determined limits
• Providing analysis to supervisor and manager of trends and issues identified

Work is typically performed in an office environment. Accountable for satisfying all job-specific obligations and complying with all organization policies and procedures.

Qualifications

• High School Diploma or Equivalent (GED) - Required
• Associate's Degree - Preferred
• Minimum of 3 years related work experience - Required

Requirements

• Skills: Communication
• Skills: Computer Literacy
• Skills: Regulatory Environment - Financial Services
• Skills: Teamwork

Benefits

• Healthcare benefits for full-time and part-time positions from day one
• Vision and dental coverage
• Support for domestic partners
• Encouragement of an atmosphere of collaboration, cooperation, and collegiality

Company Description

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.