Job Summary

Position provides the centralized management for all Clinical Enterprise revenue cycle functions within Geisinger. The position directs, manages and implements programs to ensure efficient operations of Geisinger’s revenue management program in order to generate sufficient cash flow to support Geisinger operations and strategic initiatives. Responsibilities include identifying, analyzing, reducing and resolving all revenue management issues associated with hospital and professional accounts receivable.

Job Duties

• Manages all functions (hospital and professional) within the revenue cycle including patient access, coding, charge entry, hospital billing, professional billing accounts receivable resolution and reconciliation, administrative services, integrity, compliance, and physician credentialing.
• Insures cost effectiveness and organizational efficiency.
• Provides strategic direction to these functions and how the functions in question inter-relate to the other functions within Geisinger and the Clinical Enterprise including Senior Management, Human Resources, Information Systems, Corporate Finance, Process Improvement, Customer Service, professional physician staff, and other areas.
• Communicates departmental activities to senior management and to the management staff of Clinical Enterprise as it relates to cash flow, organizational profitability, customer service, accounts receivable results and revenue enhancement activities.
• Works in conjunction with other clinical, finance, and technology areas to insure coordinated activities with respect to all Geisinger, Clinical Enterprise and revenue cycle needs.
• Develops, implements and direct various quality initiatives to ensure continuous monitoring and improvements within the revenue cycle process.
• Manages an overall fiscally responsible departmental operating and capital budget(s) within pre-determined limits and within Freedom-To-Act guidelines to ensure operational efficiencies and achieving pre-determined performance targets.
• Leads the identification and implementation of all revenue management technology innovations at Geisinger, including AI and other automation.
• Establishes new and innovative programs within the revenue cycle for all revenue cycle associates.
• Communicates ongoing improvements relative to process improvement and employee development.
• Involved, when required, in the development of various revenue cycle and strategic plans.
• Assesses and develops new business and for-profit business opportunities.

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

Education

Bachelor's Degree- (Required)

Experience

Minimum of 10 years-Healthcare (Required), Minimum of 10 years-Leadership (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.

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