JOB TITLE: Revenue Management Coordinator LOCATION: Buckhorn Office Building
DEPARTMENT: Revenue Cycle Credit Balances
WORK SCHEDULE: Days (M-F 8:00AM - 4:30PM, no weekends or holidays)
WORK TYPE: Full Time (1.0 FTE)
The Credit Balance (Overpayment) Coordinator will be responsible for investigating self-pay and insurance credit balances or overpayments for proper disposition in the business office of a nationally recognized health care system. Eager learners with strong Excel skills and technical analytical ability are preferred.
MAJOR DUTIES AND RESPONSIBILITIES:
Review self-pay credit balances including: ? Identification of overpayment or overcollection root cause by individual account and aggregated report review ? Research of outstanding balances in system ? Research of open balances in billing system ? If appropriate, initiate and follow up on self-pay refunds ? Track all refunds ? Review unapplied cash report to ensure proper disposition of client payments Review insurance credit balances including: ? Root cause of credit balance ? Understand fee schedule to make determination of credit balances ? Determination if claim is overpaid or credit due to incorrect contractual adjustment ? If appropriate work with cash posting to ensure correct contractual adjustments are posted into CL system ? Respond to insurance company requests for refunds ? If appropriate initiate and follow up on insurance refunds ? Track all refunds Assist with any other projects/duties assigned which may include: ? Large volume analytical and claim research - both insurance and self-pay ? Clear communication with other departments within the organization
Technical Skills: ? Strong math and analytical stills including the ability to create, manipulate, filter, and review large data sets ? Accuracy of data entry and attention to detail ? Passion for learning ? Ability to work with clinical staff and financial staff ? Demonstrates good customer service skills ? Demonstrates good decision making
COMPETENCIES AND SKILLS: Demonstrates the ability to effectively communicate in a positive and team oriented environment.
Demonstrates strong general understanding of personal computers, Microsoft Word and Excel.
Demonstrates excellent written and oral communication skills with all levels of staff/management within and beyond the organization.
Demonstrates knowledge of internal and external clinical/financial information systems.
Demonstrates abilities in analytical thinking for problem solving.
Demonstrates the ability to effectively interact in a team environment and with high-level management.
Demonstrates general understanding of the healthcare industry.
Demonstrates ability to multitask and manage simultaneous projects well with a strong attention to detail.
Demonstrates ability to be a highly motivated, self-starter with a customer service focus.
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/OR EXPERIENCE:
Bachelor?s degree in Business, Mathematics, Computer Science Information Technology or other data relevant field required.
Associates degree in Business, Mathematics, Computer or other data relevant field required. Minimum three years professional work experience in a revenue management or report writing required.
In lieu of degree, five years of related business office or health care insurance processing experience required.
Extensive knowledge of the Revenue Management and/or regulatory requirements as they relate to hospital and professional revenue management operations is required. This experience should include the resolution for all types of issues that start with Scheduling and end in Billing/Collection (with respect to all third party insurance payers, patient related billing issues, revenue enhancement, and the cash application component for the various service lines contained within GHS and the revenue management). Significant experience with payers, providers, hospitals and physicians and an understanding of the commensurate requirements for facilitating accounts receivable resolution including cash flow, billing, collection, cash application and patient service related issues required.
Health Care Revenue Management Credit Balance resolution experience preferred. Revenue Management certification preferred.
Experience with IDX, BAR and Siemens applications required.
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.
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.
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.
GEISINGER MEDICAL CENTER: (GMC), located Danville, Pa., the largest tertiary/quaternary care teaching hospital in the region, is licensed for 475 beds, including 89 pediatric beds in the Janet Weis
Children?s Hospital. GMC, a Magnet Hospital, maintains the region?s only Level 1 Regional Resource Trauma Center with additional qualifications in pediatrics. GMC offers an array of highly specialized medical and surgical services, including neurosciences, cardiovascular services, transplantation, women?s health (in the Women?s Pavilion), oncology and orthopaedics. The Hospital for Advanced Medicine serves as an integrated center for the most critical patients. Outpatient services are available on and off campus.
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.
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.