Provides financial counseling either in person or via telephone for all patients for designated areas; admissions-scheduled and/or elective, in/out surgeries and/or outpatient clinical services. Provides coordination and completion of patient billing and collection functions either at the time of the initial interview, prior to the services being rendered and/or after the insurance carrier has paid. Maintains a close working relationship with the staff of the assigned clinical departments, to ensure clear communication and handling of all patients’ financial needs. Provides accurate and efficient service to patients. Completes POS collections including co-payments, deductibles, and remaining estimated balances at point of service.
Performs duties to support the goals and objectives of the Geisinger Health System in its efforts to provide the highest level of quality patient care and patient satisfaction.
Directly accountable to the Supervisor, Revenue Cycle.
Competencies and Skills:
Adapts personal skills as needed to the utilization of new technologies that are deployed in an effort to achieve optimal performance and drive future business processes and improvements with respect to all Revenue Management functions and the various service lines.
Develops, implements and directs various quality initiatives to insure continuous monitoring and improvements within the Revenue Management 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 and quality targets.
REVENUE MANAGEMENT KNOWLEDGE - Demonstrates the ability to understand and strive to meet Revenue Management targets; decrease overall A/R over 90 days, increase cash and affectivity work through and assist patients and/or providers with the Discounting Policies and/or Bad Debt Policies.
CUSTOMER SERVICE SKILLS - a series of activities designed to enhance the level of customer satisfaction, that is, the feeling that a product or service has met or exceeded the customer’s expectation. Consistent adherence to all GHS service standards, including but not limited to C.I. CARE.
CUSTOMER INTERACTION - knowledge of practices, tools, and techniques for communicating with a customer. May involve dealing with individuals with a range of moods and behaviors in a tactful, personal manner.
COMMUNICATION SKILLS - demonstrates oral, written, and electronic communication skills.
COMPUTER SKILLS - demonstrates basic navigation in a windows environment, and passwords and security. Accesses the internet, uses basic browser functionality, and understands policy on Internet usage. Demonstrates the ability to compose, send and read emails, understands email functionality and conventions related to replying.
BILLING SYSTEM KNOWLEDGE – demonstrates advanced knowledge of automated billing systems (EPIC, IDX, Siemens, Promise, Microsoft Word, Microsoft Excel, Navinet, Transunion, Presumptive Eligibility, Artiva, Carepricer, DIMS, Compass, CORE, SharePoint and Tower) preferred.
OFFICE SKILLS - Demonstrates basic office skills including, but not limited to: phones, email, copying, faxing, filing, scheduling, mail, etc.
PAYER PRACTICES KNOWLEDGE – Stays abreast of regulatory and payer policy changes
INDEPENDENT WORK - In the position of a Business Service Coordinator, the individual must work independently or with limited supervision, with a consistent display of initiative, resourcefulness, problem solving skills, and the ability to retain information.
TEAM PLAYER - Must be able to work and communicate effectively in a team environment.
EDUCATION AND/OR EXPERIENCE:
High school diploma or equivalent required. Bachelor’s degree or Associate’s degree preferred.
Minimum of three years’ experience in Healthcare or insurance industry with a focus on Registration, Financial Services, or Customer Service required.
Obtain and maintain certification as a Certified Application Counselor, CAC within 6 months of hire. As a CAC, you are required to be able to provide information about insurance affordability programs and coverage options, assist in applying for coverage and insurance affordability programs in the Marketplace, and help facilitating enrollment in health coverage while complying with all state and federal guidelines.
Knowledge of billing requirements, financial counseling and payment options, and ability to collect upfront payments required.
Overall knowledge of the revenue cycle and accounts receivable required.
Bilingual ability preferred.
Experience with Patient Access ADT required.
Position requires moderate physical demands including walking up to 1 mile per day on average, face-to-face patient interaction with combative patients and/or hostile work 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.