Job Summary

Provides the necessary functions to bill, collect, analyze, and adjudicate all professional and/or hospital billing and collection functions. Executes and performs programs to insure efficient operations of 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 and insuring monthly cash flow. These responsibilities further include the management of a portfolio of accounts with respect to the successful adjudication of claims on a monthly basis.

Job Duties

• Performs professional and/or hospital billing and collection functions within the revenue management to include, but not limited to billing and collection functions, secondary collections, cash posting, A/R resolution, adjustments, credit balance resolution, revenue enhancement and cash flow for the various clinical service lines.
• Performs the above-mentioned activities of the revenue management to insure cost effectiveness and organizational efficiency.
• Furthermore, this position executes these functions in regard to how their function inter-relates to the other revenue management functions and all of the various third-party payers associated with the clinical service lines.
• Communicates their functional activities to their leader, senior management as it relates to billing, insurance follow-up, cash flow, cash application, revenue enhancement, organizational profitability, customer service, accounts receivable results and revenue management results.
• Works in conjunction with other areas to insure coordinated activities with respect to all revenue management needs.
• Participates in a minimum of sixty hours of classroom training per year.
• Involved, when required, in the development of various strategic plans.
• Develops, implements and directs various quality initiatives to insure continuous monitoring and improvements within the revenue management process.
• This includes performing overall departmental operating functions within pre-determined limits, ensuring operational efficiencies and obtaining pre-determined performance and quality targets.
• Provides 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. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details

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 Required

Computer 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), Associate's Degree- (Preferred)

Experience

Minimum of 3 years-Related work experience (Required)

Certification(s) and License(s)

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. SAFETY: We provide a safe environment for our patients and members and the Geisinger family 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. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.