Shift: Day Shift
Description:
POSITION PURPOSE
Performs everyday billing and follow-up activities within the profits operations of an appointed Patient Business Services (PBS) area. Works as a member of the billing and follow-up group at a PBS area accountable for billing and follow-up of federal government and non-government accounts. The position reports straight to the Supervisor Billing and Follow-up.
ESSENTIAL FUNCTIONS
Knows, comprehends, includes, and shows the Trinity Health Mission, Vision, and Values in habits, practices, and choices.
Performs day-to-day activities as part of the billing and follow-up group in assistance of the income cycle procedure for a designated PBS place.
Documents claims billed, paid, settled, and follow-up in suitable system( s).
Identifies and intensifies concerns impacting precise billing and follow-up activities.
Adheres to proactive practices that include getting in touch with the payer straight for payment due on accounts and examining and reacting to all mail correspondence in a prompt and precise way.
Communicates with suitable medical facility departments to clarify billing inconsistencies and gets market, scientific, monetary, and insurance coverage info.
Performs all regular follow-up functions that includes the examination of overpayments, underpayments, credit balances and payment hold-ups. Jobs will be routed to the right workflows with the goal of optimizing compensation for services rendered and guaranteeing claims are paid or settled in a prompt and precise way.
Researches claim rejections, make corrections, take restorative actions, and/or refer claims to proper associates to guarantee prompt and precise claim resolution.
Proactively act on postponed payments by calling clients and third-party payers identifying the cause for hold-up and providing extra information as needed.
May prepare unique reports as directed by the Supervisor Billing and Follow-Up to record follow-up services, e.g., variety of claims and dollars billed, declares modified, declares unprocessed, and so on
Other tasks as required and designated by the manager.
Maintains a working understanding of suitable Federal, State, and regional laws and guidelines, Trinity Health’s Integrity and Compliance Program and Code of Conduct, in addition to other policies and treatments in order to guarantee adherence in a way that shows sincere, ethical, and expert habits.
MINIMUM QUALIFICATIONS
High School diploma and a minimum of one (1) year of experience and pertinent understanding of profits cycle functions and systems working within a healthcare facility or center environment, a medical insurance business, handled care company or other healthcare monetary service setting, carrying out medical claims processing, monetary therapy, monetary clearance, accounting or customer care activities or a comparable mix of education and experience. Experience in a complex, multi-site environment chosen.
Basic understanding of Microsoft Office, consisting of Outlook, Word, PowerPoint, and Excel.
Completion of regulatory/mandatory accreditations and abilities recognition proficiencies chosen.
Excellent spoken and written interaction and organizational capabilities.
Strong social abilities are needed in handling internal and external clients.
Accuracy, attention to information and time management abilities.
Ability to work individually.
Ability carry out billing and follow-up activities in a timely and precise way in order to lower possible monetary loss to the client and the Ministry Organization.
Must be comfy operating in a collective, shared management environment.
Must have an individual existence that is defined by a sense of sincerity, stability, and caring with the capability to motivate and encourage others to promote the approach, objective, vision, objectives, and worths of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
This position runs in a normal workplace environment. The location is well lit, temperature level managed and devoid of dangers.
Incumbent interacts often, personally and over the phone, with individuals in all places on item assistance problems.
Manual mastery is required in order to run a keyboard. Hearing is required for substantial telephone and face to face interaction.
The incumbent goes through eyestrain due to the numerous hours invested taking a look at a CRT screen. The sound level is low to moderate.
Must have the ability to set and arrange own work concerns and adjust to them as they alter regularly.
Must have the ability to work simultaneously on a range of tasks/projects in an environment that might be demanding with people having varied characters and work designs.
Must have the capability to abide by Trinity Health policies and treatments.
Our Commitment to Diversity and Inclusion
Trinity Health is a household of 115,000 associates and almost 26,000 doctors and clinicians throughout 25 states. Since we serve varied populations, our associates are trained to acknowledge the cultural beliefs, worths, customs, language choices, and health practices of the neighborhoods that we serve and to use that understanding to produce favorable health results. We likewise acknowledge that each people has a various mindset and viewing our world which these distinctions typically result in ingenious services.
Our commitment to variety consists of a unified labor force (through training and education, recruitment, retention, and advancement), dedication and responsibility, interaction, neighborhood collaborations, and provider variety.
Trinity Health
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