Service Line Specialist, Revenue Management

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🕒 6 dias atrás

🔔 Pennsylvania – Remoto

🔔 Pennsylvania – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

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Geisinger

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1915

🏥 Saúde

💊 Farmacêutico

🧘 Bem-estar

Healthcare • Pharmaceuticals • Wellness

Geisinger é uma organização de saúde que atende comunidades na Pensilvânia há mais de um século, oferecendo serviços médicos essenciais e soluções inovadoras em saúde. A organização enfatiza a diversidade, o desenvolvimento de carreira e a criação de um ambiente de apoio para seus funcionários, enquanto se esforça para melhorar a saúde e o bem-estar de seus pacientes por meio de diversos programas e iniciativas comunitárias. Geisinger é reconhecida como um dos sistemas de saúde mais inovadores e está comprometida em moldar o futuro da saúde com foco no cuidado ao paciente e na inclusividade.

Descrição

• Perform professional and/or hospital billing and collection functions for clinical service lines • Handle secondary collections, cash posting, accounts receivable resolution, adjustments, credit balance resolution, revenue enhancement, and cash flow • Bill and collect from third-party insurance payers • Adjudicate claims and manage a portfolio of accounts for successful monthly claim resolution • Analyze, identify, reduce, and resolve revenue enhancement and credit balance issues • Execute revenue management activities cost-effectively and efficiently • Coordinate revenue management activities with other functions and third-party payers • Communicate billing, insurance follow-up, cash flow, cash application, profitability, customer service, accounts receivable, and revenue management results to leadership and senior management • Participate in strategic plan development when required • Develop, implement, and direct quality initiatives for continuous process improvement • Monitor departmental operations, operational efficiency, performance targets, and quality targets • Provide supervisors and managers with analysis of identified trends and issues

🎯 Requisitos

• High School Diploma or Equivalent (GED) required • Minimum of 3 years of related work experience required • Communication skills • Computer literacy • Knowledge of the regulatory environment in financial services • Teamwork • Ability to work with professional and/or hospital billing and collection functions • Ability to work with third-party insurance payers and accounts receivable • Must be a Pennsylvania resident • Does not qualify for J-1 waiver

🏖️ Benefícios

• Healthcare benefits from day one for full-time and part-time positions • Vision benefits • Dental benefits • Domestic partner benefits • Collaborative, cooperative, and collegial work atmosphere • Diverse and inclusive workplace • Affirmative action and equal opportunity employment • Minimum of sixty hours of classroom training per year