This position will provide centralized supervisory support for all Revenue Cycle authorization specialists with respect to the Geisinger Health System (GHS) and community physician network. This position supervises and implements programs to insure efficient operations of the Geisinger Health System Revenue Cycle program in order to generate "world class" patient satisfaction and sufficient cash flow to support GHS operations and strategic initiatives. In the position of Supervisor, Authorization Specialist (MyVisit) responsibilities include, but not limited to, overseeing, collecting, adjudicating, identifying, analyzing, reducing and resolving various physician and patient service issues associated with authorization process. These responsibilities further include the daily supervision of employees in regards to the collection and securing of authorizations. Plans, coordinates and organizes the overall activities of the Revenue Cycle MyVisit Authorization department. Maintains good public relations throughout the department, trains and evaluates subordinates; sets objectives and measures results; recommends policy and procedural changes and additions. Performs duties to provide the highest level of patient care and maximize patient satisfaction. Directly accountable to the Manager, MyVisit (Pre-Financial Clearance).
COMPETENCIES AND SKILLS:
Demonstrates a positive, supportive, respectful and helpful attitude in interactions with all department customers (patients, physicians, visitors and other healthcare team members). Demonstrates respect for the rights and dignity of all patients. Provides and maintains patient privacy at all times. Is compliant with HIPAA guidelines and privacy practices, patient confidentiality and patient rights. Self-directed and performs duties with minimal supervision. Proven ability to function in an independent role. Adjusts to peaks in workload: demonstrates flexibility and adaptability to change. Complies with changes in duties and assignments in a positive and cooperative manner. Demonstrates a calm, professional manner. Offers and acts on constructive feedback. Demonstrates experience and skills necessary to lead teams, motivate others, build consensus and implement change. Demonstrates competence in written, oral and electronic communication skills including typing, keyboarding, and computer skills. Demonstrates the ability to work independently, set priorities and multi-task. Well organized and prioritizes responsibilities to complete daily work and assignments in appropriate time frame.
Must exhibit critical thinking and problem solving skills. Demonstrates detailed knowledge of Microsoft Office applications, GroupWise and all other department software systems and their integration. 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 EXPERIENCE:
Bachelor’s degree in accounting, financial, business, or related field required. Minimum of five years Business Office experience in health care (preferably) or revenue management required. In lieu of degree, may consider a minimum of 10 years of revenue management, finance, or related experience required. Extensive knowledge of the revenue cycle, payer rules, and/or regulatory requirements as they relate to revenue management/authorizations required. Significant experience with payers, providers, hospitals and physicians and an understanding of the commensurate requirements for facilitating authorizations for various service lines. Must be knowledgeable in medical insurance coverages, CPT, and ICD-10 coding, federal and state assistance programs, accounting and general office procedures. Customer/patient/front end service skills required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment. Ability to travel periodically to various locations as work permits.
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.