PATIENT BILLING & COLLECTIONS SPECIALIST

Full Time
Hartford, CT 06105
Posted
Job description

Employment Type:

Full time

Shift:

Day Shift

Description:

Come join our Compensation team at Saint Francis Hospital, a member of Trinity Health Of New England! We are part of the nationwide Trinity Health family bringing compassionate care to our communities.

:

Develops a networking relationship with workers’ compensation carriers, managed care organizations and employers for the purpose of ensuring timely payment of occupational medicine clinic patient charges. Communicates effectively with clinical operations and administrative personnel concerning the transmission of medical chart documentation for the purposes of bill resubmissions and appeals. Analyzes EOB’s (Explanation of Benefits) from payers to determine the accuracy of their reimbursement to the occupational medicine program.

Top Reasons to Work at Trinity Health of New England:

  • Our Mission and Core Values

  • Great benefits and Health Insurance Coverage

  • Career growth and advancement potential

  • Award-winning Hospitals and Departments

Work Hours/Shift:

  • Full time 40hours M-F days

You Will Be Responsible For :

  • Excellent Communicator : Communicates effectively on a continual basis with the Collections Manager.

  • Strong Educator: Reviews EOB denials and identifies denial trends along with solutions for resolution.

  • Technical Familiarity: Runs accounts receivable aging report to follow up on outstanding insurance payments that need to be reviewed for additional follow up. Identifies claims that need to be appealed and processes appeal in a timely manner.

  • Active Teamwork : Establishes working relationship with clinical site personnel for the effective transfer of information.

Requirements :

  • Minimum High School Graduate or equivalent, college level courses preferred

  • Minimum of three (3) to five (5) years of Accounts Receivable/ Collections experience.

  • Knowledge of workers’ compensation claims preferred

  • Experience with insurance follow up, calling insurance carriers, review of EOB’s, appeal writing preferred

  • Working knowledge of CPT, HCPC, and ICD-10 codes

  • Excellent verbal and written communication skills, data entry, phone skills used in the collection of accounts receivables

About Trinity Health Of New England:

Trinity Health Of New England is an integrated health care delivery system that is comprised of world-class providers and facilities dedicated to full spectrum preventative, acute, and post-acute care. We aim to deliver top level care to increase our community's overall health at lower costs. While we serve nearly 3 million people, we are proud to be a part of a national system that focuses on putting our patients first and having the best colleagues to do so.

Trinity Health Of New England benefits include health insurance, adoption assistance, tuition reimbursement, paid vacation, sick time, and professional advancement just to name a few.

Employees can also take advantage of extra benefits specific to each hospital.

Step up to your potential. Write your story and apply today!

Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by federal, state or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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