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Employment Type:

Full time

Shift:

Day Shift

Description:

Position Purpose

This position is responsible for reviewing financial/insurance information obtained to meet State, Federal and Third-Party billing requirements to ensure reimbursement for services.

What you will do

+ Prepare accurate reports and provide departmental summary information that ensures all infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained

+ Satisfy admission notice requirements for pre-certification/authorization for HMO/commercial payers in order to meet contractual agreements

+ Edit, update and file all new information gathered for each admission

+ Obtain authorizations and appeal denied claims for related services, drugs, treatments and supplies

+ Assist interdepartmental teams in troubleshooting accounts that are being held in A/R due to lack of prior authorization

Minimum Qualifications

+ High School or equivalent, some college experienced preferred

+ 5 years' experience - Patient Accounting and/or Financial Counseling. Knowledge of billing regulations helpful

+ Knowledge of medical terminology and medical insurances

Position Highlights and Benefits

+ 40 Hours per Week - 1st shift (Days)

+ Great Benefits and Health Insurance Coverage - Starting Day 1

Ministry/Facility Information

Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, 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.

EOE including disability/veteran