JOB TITLE: Revenue Management Cash Control Specialist II
LOCATION: Buckhorn Office Building
DEPARTMENT: Revenue Management
WORK SCHEDULE: Days
WORK TYPE: Full Time
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 payers, application of all patient payments, adjudicating, identifying, analyzing, reducing and resolving various revenue enhancement, and credit balance issues associated with approximately $500 million of hospital and professional accounts receivable and ensuring monthly cash flow of approximately $132.5 million for the previously mentioned service lines. These responsibilities include processing of all cash payments, adjustments and denials prior to the month-end close and adjudication of all unidentified accounts within the IDX and SMS systems. In addition to the posting of the $132.50 million per month the Cash staff is responsible for reconciliation/balancing functions for all manual and electronic payers on a daily basis. This would also include the reconciliation process to the bank deposit In addition the areas of responsibility also include the CCH and Proven Diagnostics payers.
Reports to the Revenue Cycle Supervisor or the Cash Application Director.
MAJOR DUTIES AND RESPONSIBILITIES:
*1. Performs all hospital and professional cash application functions within the revenue cycle to include, but not limited to Per-Se edits, rejections, filing of secondary claims, E-Com, Wachovia and daily completion of 9 lock boxes for the eighteen various service lines.
*2. Performs all hospital and professional balancing activities. This process ensures that all payment received, either electronically or manually, equals the overall bank deposits as reported.
*3. Performs the above-mentioned activities of the revenue cycle 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 cycle functions including Patient Access, Medical Records, Hospital Billing and Collections, Professional Billing and Collections, Cash Application, Revenue Enhancement, Human Resources, Information Systems, Financial Reporting, Process Improvement, Charge Entry, Training, Corporate Finance, Customer Service, Practice Specialists and all of the various third party payers associated with the eighteen service lines.
*4. Communicates their functional activities to their Supervisor and/or Manager, the Senior Director of their respective functional area and revenue cycle senior management of GHS as it relates to billing, insurance follow-up (collections), cash flow, cash application, revenue enhancement, organizational profitability, customer service, accounts receivable results and revenue cycle service line results.
*5. Works in conjunction with other areas within the revenue cycle and GHS to insure coordinated activities with respect to all revenue cycle needs.
*6. Develops implements and directs various quality initiatives to insure continuous monitoring and improvements within the revenue cycle process of GHS. 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.
*7. Facilitates of various technological initiatives in support of business process improvements with respect to all revenue cycle functions and the various service lines.
*8. Participates in a minimum of eighty hours of classroom training per year. If needed, assist with the establishment of a training school and provide job specific training for all revenue cycle employees in regards to specific functions and communicate ongoing improvements relative to process improvement and service line development.
9. Involved, when required, in the development of various revenue cycle and GHS strategic plans.
10. Assists with the reduction of AR utilizing the review of rejections for missing modifiers, enrollment issues, and new rejections codes. Also, reviews and researches account to ensure AR resolution.
11. Responsible for the preparation of training manuals and procedures.
12. Preparation of documents, for the Tower system, to ensure that remittances are available for reference for the entire Revenue Cycle.
13. Performs other duties as required or assigned by emergency or other operational reasons for which the employee is qualified to perform.
*Denotes essential job functions.
COMPETENCIES AND SKILLS:
Demonstrates strong presentation skills, with the ability to effectively communicate to many different audience levels.
Employee must be able to post cash for at least two (2) of the cash functions listed below: • IDX Manual Entry Commercial (Transactions) • IDX Electronic (Transactions) • Siemens Manual Entry Commercial (Transactions) • Self Pay Manual IDX • Self Pay Manual Siemens
Demonstrates familiarity with multiple computerized applications (i.e. Siemens, IDX, Tower, NaviNet, WebMD, Excel, Microsoft Work, Docu-Direct, and Monarch etc).
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. Minimum of three years of revenue cycle or related experience required.
Cash Control Specialist I must be in their current position for two years before being considered for the Cash Control Specialist II position.
Extensive 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 payers, 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.
Significant experience with payers, 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.
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.
One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit geisinger.org or connect with us onFacebook, Instagram, LinkedInand 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.