Service Line Specialist Revenue Management (work from home Eastern United States - EST)

Geisinger; Danville (PA); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented billing and collections specialist to enhance revenue management processes. This role involves critical functions such as billing, cash application, and accounts receivable management to ensure efficient cash flow and support strategic initiatives. The ideal candidate will have experience with Epic Resolute and medical coding, along with a strong commitment to excellence and customer service. Join a collaborative environment that values diversity and innovation, where your contributions will directly impact the financial health of the organization. If you are passionate about healthcare and eager to make a difference, this opportunity is perfect for you.

Benefits

Healthcare Benefits

Vision Insurance

Dental Insurance

Flexible Schedule

Training Opportunities

Qualifications

• 3+ years of related work experience in billing and collections.
• Knowledge of Epic Resolute and medical coding preferred.

Responsibilities

• Manage billing and collection functions for professional and hospital accounts.
• Ensure efficient operations to support cash flow and organizational profitability.

Skills

Billing and Collection Functions

Accounts Receivable Management

Cash Application

Revenue Enhancement

Customer Service

Medical Coding (CPC-A)

Epic Resolute

Patient Access

Education

High School Diploma or Equivalent (GED)

Associate's Degree

Job description

Job Summary: Provides the necessary functions to bill, collect, analyze, and adjudicate all professional and/or hospital billing and collection functions. Executes and performs programs to ensure efficient operations of the program in order to generate sufficient cash flow to support operations and strategic initiatives. 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 ensuring 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.

Job Duties

• Performs professional and/or hospital billing and collection functions within the revenue management to include, but not limited to billing and collection functions, secondary collections, cash posting, A/R resolution, adjustments, credit balance resolution, revenue enhancement and cash flow for the various clinical service lines.
• Performs the above-mentioned activities of the revenue management to ensure cost effectiveness and organizational efficiency.
• Furthermore, this position executes these functions in regard to how their function inter-relates to the other revenue management functions and all of the various third-party payers associated with the clinical service lines.
• Communicates their functional activities to their leader, senior management as it relates to billing, insurance follow-up, cash flow, cash application, revenue enhancement, organizational profitability, customer service, accounts receivable results and revenue management results.
• Works in conjunction with other areas to ensure coordinated activities with respect to all revenue management needs.
• Participates in a minimum of sixty hours of classroom training per year.
• Involved, when required, in the development of various strategic plans.
• Develops, implements and directs various quality initiatives to ensure continuous monitoring and improvements within the revenue management process.
• This includes performing overall departmental operating functions within pre-determined limits, ensuring operational efficiencies and obtaining pre-determined performance and quality targets.
• Provides analysis to supervisor and manager of trends and issues identified.

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.

Position Details

Experience preferred:

• Epic Resolute
• Healthcare
• Billing: Follow up / Accounts Receivable
• Medical coding: CPC -A - Certified Professional Coder Apprentice
• Patient Access / Medical Appointment Scheduling

Working Hours:

8:00am - 4:30pm EST Training/probation period

Flexible schedule during department business hours after

Internet requirements:

Employee required to have/supply: Cable modem, (high speed, only - No DSL or Wireless Cellular Service or Satellite Service) The minimum requirement is:

• 25 MBPS UP
• 75 MBPS DOWN
• <150 ms Ping Required
• <30ms Jitter Required

Computer must be connected to the internet via Ethernet cable; wifi is not permitted unless a Virtual Private Network (VPN) is used for the wifi connection.

Education

High School Diploma or Equivalent (GED)- (Required), Associate's Degree- (Preferred)

Experience

Minimum of 3 years-Related work 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.