Provides the necessary functions to bill, collect, analyze, and adjudicate all hospital and professional billing and collection functions for the eighteen- (18) service lines with respect to the hospitals and all physicians within the Geisinger Health System. This position executes and performs programs to insure efficient operations of the Geisinger Health System Revenue Cycle program in order to generate sufficient cash flow to support GHS operations and strategic initiatives. In the position of Cash Control Specialist, responsibilities include cash application for all third party insurance payors, application of all patient payments, adjudicating, identifying, analyzing, reducing and resolving various revenue enhancement, and credit balance issues associated with approximately $300 million of hospital and professional accounts receivable and insuring monthly cash flow of approximately $80 million for the previously mentioned service lines. These responsibilities include: Responsible for downloading all electronic cash files for both SMS and IDX systems.
These responsibilities include the download of all cash payors each month. Responsible for importing and on-line posting through the Per-Se application. Responsible for assisting in creation of edit lists for manual data entry completed by Cash Control Specialists. Provide input into problem resolutions involving any new download process. Must review current processes for continued automation, and improvement recommendations, with the RCSS and IT staff members. Distributes reports to various teams within the Business Office as applicable. Create and run additional reports to determine variances in balancing payors. Completes testing whenever a new change has been approved to an existing posting rule for the Per-se functions in SMS and provides feedback on those tested applications to other areas of the Revenue Cycle team.
Performs duties to support the goals and expectations of the Cash Department and the Geisinger Health System (GHS) in its efforts to provide quality patient care and patient satisfaction. Assisting in posting any manual keying entries during any backlog situations, Month end, and off peak timeframes. Assists in balancing of the MA clinic files due to the new concatenation process.
Adjudication of all unidentified accounts within the IDX and SMS systems.
Must be able to work independently with minimal supervision.
Reports to the supervisor from Cash Department, Sr. Financial Analyst, Director, and IT/RCSS management designate.
Competencies and Skills:
Demonstrates a strong understanding of technical processes involving downloaded files.
Demonstrates excellent written and oral communication skills to include procedure format writing.
Demonstrates strong abilities in analytical thinking for problem solving, balancing, and/or work flow enhancements.
Demonstrates strong knowledge of Excel, Word, and Monarch applications.
Demonstrates ability to effectively interact in a team environment and with high-level management including other outside vendors.
Integrated understanding of the IDX, SMS, and Per-se systems and any other internal or external program(s) related to this position.
Organizes work to effectively utilize time management and maintain workloads at a current status.
Must assume increased job related responsibilities in the event of absences, illnesses, and testing of new system(s) and/or software.
Performs all areas of job functions at a high accuracy rate; with minimal supervision.
Must work independently and meet deadlines. Must be able to multitask and communicate effectively with various other departments.
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:
High School diploma or equivalent required. B.A. or B.S. in related field preferred. Appropriate years of experience will be considered in lieu of degree.
Knowledge of the revenue cycle and/or regulatory requirements as they relate to the hospital and professional billing and collections for all third party insurance payors, revenue enhancement and the cash application component for the various service lines contained within GHS and the revenue cycle required. Experience within a similar setting of size or volume preferred.
Experience with payors, providers, hospitals and physicians and understand the commensurate requirements for facilitating accounts receivable resolution by service line including cash flow, billing, collection, cash application and customer service related issues required. Experience within a centralized business office preferred. Minimum of one-year experience in system applications involving IDX and/or SMS download programs required. (Equivalent prior applications experience may replace this requirement).Prior experience in Excel and Microsoft Word applications required.
Report creation and balancing of spreadsheets in strongly preferred.
Experience in Monarch, Monarch models, Rapid Filer, AES, Docu-direct, and Online cash posting programs strongly preferred.
A Minimum of two years prior Cash, Banking, or Data entry experience strongly preferred.
Prefers a minimum of two years experience in a health care setting.
Minimum of one year to learn all job functions regarding job responsibilities and requirements.
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.
The specific statements in this profile 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.
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, Instagram, LinkedIn and Twitter.
** 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.
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.