Provides the necessary functions to bill, collect, analyze, and adjudicate all hospital and professional accounts and functions 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 resolve credit balances to support GHS operations and strategic initiatives. In the position of Revenue Management Credit Balance Specialist, responsibilities include resolving credits for all patients and third party insurance payers, cash application, adjudicating, identifying, analyzing and associated with approximately $30 million of hospital and professional accounts.
Reports to the Revenue Management Credit Balance Manager.
COMPETENCIES AND SKILLS:
Demonstrates strong mathematical skills.
Demonstrates excellent communication skills, strong organizational skills, interpersonal skills, and writing skills.
Demonstrates ability to be professional, resourceful, confident, and maintain a pleasant, receptive manner.
Demonstrates the ability to work independently and as a member of a team.
Demonstrates ability to perform mathematical calculations (percentages, ratios) and basic clerical skills (telephone, computer, photocopier, and fax machine).
Demonstrates the ability to effectively communicate in a positive and team-oriented environment.
Performs all areas of job functions at a high accuracy rate; with minimal supervision.
Organizes work to effectively utilize time management and maintain workloads at a current status.
Demonstrates the ability to work well in a team atmosphere fostering a positive, professional relationship with all staff across department and company lines.
EDUCATION AND EXPERIENCE:
Associate’s degree required.
High School diploma or equivalent required. Minimum of one year business office experience or experience in a health care setting required.
Must take the required course training(s) within 6 months of assuming the position.
Must take the Registration Credentialing Program within 6 months of assuming position and pass within 9 months.
Requires knowledge of Microsoft Programs. Additional business courses including typing, PC, various software packages, spreadsheets, etc. preferred.
Minimum of one year to learn all job functions regarding job responsibilities and requirements.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
Must be willing to work weekends and holidays when necessary to complete deadlines for month end
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria 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. Geisinger is known for its focus on caring and innovative programs including the ProvenCare® best-practice approach to maximize quality, safety and value; ProvenHealth Navigator® advanced medical home; Springboard Health® population health program to improve the health of an entire community; ProvenExperience™ to provide refunds to patients unhappy with their care experience; and Geisinger’s MyCode® Community Health Initiative, the largest healthcare system-based precision health project in the world. With more than 215,000 volunteer participants enrolled, MyCode is conducting extensive research and returning medically actionable results to participants. 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 on Facebook, Instagram, LinkedIn and Twitter.
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.
** 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.