Credit Balance Specialist II (work from home Pennsylvania resident)

Geisinger; Danville (PA); Remote; USD 55,000 - 70,000; Full time

Job summary

Geisinger is seeking a Credit Balance Specialist II to ensure efficient billing and collection within their revenue management team. The role involves resolving patient and insurance credits, cash application, and maintaining organizational efficiency, requiring strong analytical skills and relevant experience.

Benefits

Healthcare benefits from day one

Vision and dental coverage

Collaborative work environment

Qualifications

• Minimum of 4 years related experience required.

Responsibilities

• Perform credit balance resolutions for various payers.
• Conduct research on assigned accounts according to procedures.
• Provide training for new or established staff.

Skills

Communication

Analytical Thinking

Problem Solving

Education

High School Diploma or Equivalent (GED)

Job description

Job Summary Provides the necessary functions to bill, collect, analyze, and adjudicate all hospital and professional accounts and functions. This position executes and performs programs to insure efficient operations in order to resolve credit balances to support operations and strategic initiatives. In the position of Credit Balance Specialist II, responsibilities include resolving credits for all patients and third party insurance payers, cash application, adjudicating, identifying, analyzing and associated with hospital and professional accounts.
Job Duties

• Performs all hospital and professional credit balance for various payers and cash application functions within the revenue management to include, but not limited to hospital and professional billing, charge corrections, cash application, credit balance resolution, revenue enhancement and cash flow for various service lines.
• Performs the above-mentioned activities of the revenue management to insure cost effectiveness and organizational efficiency.
• Furthermore, this position executes these functions within the service line structure and in regards to how their function inter-relates to the other revenue management functions and all of the various third party payers associated with the service lines..
• Understands and strives to meet Revenue Management targets, decrease overall AR over 90 days, increase cash and effectively works through and assists patients and providers with the Discounting Policies and Bad Debt Policies.
• Advises management of any unusual development or operational problems within area of responsibility and make recommendations for process improvement within the department.
• Gains and maintains a working knowledge of a minimum of two payers and CBT staff's duties to be able to offer assistance to other co-workers as necessary.
• Provides training for new or established staff as assigned.
• Conducts research and follow-up activities on assigned accounts according to established procedures and time frames.
• Assists in maintaining control over aged accounts Responsible for maintaining a working knowledge of Revenue Management related software.
• Develops, implements, and directs various quality initiatives to insure continuous monitoring and improvements within the revenue management process of Geisinger.
• This includes performing overall departmental operating functions within pre-determined limits and within Freedom-To-Act guidelines to insure operational efficiencies and obtaining pre-determined performance targets.
• Facilitates of various technological initiatives in support of business process improvements with respect to all revenue management functions and various service lines.
• Works in conjunction with other areas within the revenue management and Geisinger to insure coordinated activities with respect to revenue management credit balance AR and team needs.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years).

Position Details
Education High School Diploma or Equivalent (GED)- (Required)
Experience Minimum of 4 years-Relevant experience* (Required)
Certification(s) and License(s)

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. SAFETY: We provide a safe environment for our patients and members and 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. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. 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.