Provides centralized management for System Access consisting of MyVisit™ (pre-financial clearance), ambulatory utilization review, financial counseling, point of service collections, hospital cashiers, trusted advisors, and Patient Access Services operational functions within Geisinger Health. Directs, manages and implements programs to insure efficient operations of the Geisinger Health Revenue Management program to provide "world class" patient service while generating sufficient revenue and cash flow to support Geisinger operations and strategic initiatives. In the position of AVP of Access, responsibilities include managing, formulating new programs, identifying areas of opportunity for program improvement, benchmarking against industry best practice models, reducing duplication of effort while increasing efficiency and resolving any hospital and ED registration, registration, financial clearance, point-of-service, and ambulatory utilization review issues associated with approximately $4 billion in net revenue, $800 million of hospital and professional accounts receivable, while insuring monthly cash flow of approximately $300 million. These responsibilities further include the management of approximately 345.0 FTE's regarding these Access revenue cycle functions. These functions are in a decentralized environment across multiple entities and maintains an operating budget of $25 million.
Competencies and Skills:
Demonstrates extensive knowledge (i.e. minimum of seven years) of Revenue Management Access and regulatory requirements as they relate to Revenue Cycle Access/Utilization Review functions. Experience preferred within a similar setting of size or volume. Must have experience managing large scale revenue cycle functions, utilizing enterprise KPIs to make informed decisions and identify opportunities for improvement.
Demonstrates strong presentation skills with the ability to effectively communicate to many different audience levels. Familiarity with computerized applications is essential.
Education and or Experience:
Bachelor's degree required. Master’s degree in Business Administration preferred.
Minimum of seven years experience with payers, providers, hospitals and physicians and understand the commensurate requirements for facilitating all ambulatory utilization review and pre-service financial arrangements, patient access/registration issues, financial clearance, point-of-service programs, financial counseling, front-end customer service, and various revenue related issues.
Experience within an integrated revenue cycle or centralized business office for a large-scale multi-site or multi-entity hospital system and/or physician practice plan preferred.
Working Conditions/Physical Demands:
Work is typically performed in an office environment. Some travel is required across the Geisinger footprint, 20% or less.
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.