Revenue Management Service Line Expert

2 weeks ago


Danville, Pennsylvania, United States Geisinger Health System Full time
Position Overview:
This role is focused on remote operations (Pennsylvania) within the healthcare sector.

Work Schedule:
Daytime hours (United States)

Weekly Commitment:
40 hours

Employment Type:
Regular

Exemption Status:
Non-exempt

Role Summary:
The individual will oversee critical tasks associated with professional and institutional billing, collections, and financial analysis. This position is essential for implementing strategies that ensure effective operations and sufficient cash flow to support both operational and strategic initiatives. Responsibilities include processing claims for third-party insurance, managing cash applications, adjudicating claims, analyzing revenue, and resolving credit balances within accounts receivable. The specialist will maintain a portfolio of accounts to ensure successful claim processing on a monthly basis.

Key Responsibilities:
  • Administers professional billing, collections, and revenue management tasks, including cash posting, adjustments, credit balance resolution, and revenue optimization for clinical service lines.
  • Ensures operational efficiency and cost-effectiveness in revenue management processes.
  • Communicates billing, insurance, cash flow, and revenue management updates to leadership and senior management.
  • Collaborates with various departments to address revenue management requirements.
  • Engages in annual training and contributes to strategic planning initiatives as needed.
  • Implements quality improvement initiatives in revenue management.
  • Provides analytical insights and trend reports to supervisors.
The work environment is primarily office-based, with a strong emphasis on fulfilling job responsibilities and adhering to organizational policies.

Position Requirements:

Education:
High School Diploma or Equivalent (GED) - (Required), Associate's Degree - (Preferred)

Experience:
A minimum of 3 years of relevant experience (Required)

Certifications and Licenses:

Essential Skills:
Effective Communication, Computer Proficiency, Knowledge of Regulatory Environment in Financial Services, Team Collaboration

OUR MISSION & VALUES: Our commitment is to provide exceptional care for patients, members, students, employees, and communities.
  • KINDNESS: We strive to treat others with the respect we seek.
  • EXCELLENCE: We value colleagues who are dedicated to achieving excellence.
  • LEARNING: We share knowledge to prepare caregivers for future challenges.
  • INNOVATION: We are committed to continuously improving care delivery.
  • SAFETY: We prioritize creating a secure environment for everyone.
We offer comprehensive healthcare benefits from the first day of employment, including vision, dental, and domestic partner coverage. Our work environment encourages collaboration, cooperation, and collegiality.

We believe in the power of a diverse workforce with varied experiences and backgrounds to enhance healthcare accessibility. Geisinger is proud to be an equal opportunity employer, providing equal consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, disability, or veteran status.

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