JOB TITLE: Revenue Management Specialist
DEPARTMENT: Business Office
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.
Provides the necessary functions to bill, collect, analyze, and adjudicate all professional and/or hospital billing and collection functions with respect to the Geisinger Health Systems. This position executes and performs programs to insure efficient operations of the Geisinger Health System Revenue Management program in order to generate sufficient cash flow to support GHS operations and strategic initiatives.
In the position of Revenue Management Specialist 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.
Reports to the Senior Revenue Management Specialist.
Demonstrates strong presentation skills, with the ability to effectively communicate with many different audience levels.
Demonstrates familiarity with multiple computerized applications (i.e. Siemens, IDX, Tower, Contract Manager, Cadence, Epic, Electronic Medical Health Record, ePremise, NaviNet, Artiva, etc).
Demonstrates ability to meet standards set forth for both productivity and quality of work.
Associate or Bachelor?s degree required.
High School diploma or equivalent required with minimum of one-year relevant experience in a health care setting to include third party insurance training, credit and collection experience with a solid knowledge of insurance coverage (Managed Care, Worker's Compensation, No-Fault) required.
Requires up to 9 months on the job training to learn all aspects of the position.
Work is typically performed in an office environment.
_The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job._
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of 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. For more information, visit www.geisinger.org , or connect with us on Facebook at http://www.facebook.com/geisingerhealth , Instagram at https://www.instagram.com/geisingerhealth/ , LinkedIn at https://www.linkedin.com and Twitter at http://www.twitter.com/geisingerhealth .
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.

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