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Employment Type:

Full time

Shift:

Day Shift

Description:

Come join the Patient Access team at Mercy Medical Center, part of Trinity Health Of New England!

Position Purpose

The Patient Access Accounts Specialist is a highly skilled, detail-oriented colleague that is an integral part of the revenue cycle process. This position provides extensive support covering all aspects of registration related billing claims edits (pre A/R) to submit clean claims to the third-party payers. This position is responsible for analyzing and working reports/edits for review and to correct demographic, insurance, provider, and charge information as required and according to payer guidelines. The resolution of these items ensures claims are billed out accurately and processed for payment timely. The colleague works closely with other departments and multiple specialties to obtain required information and for root cause analysis.

What you will do

+ Check that pre-bill claims are passing internal edits in a timely fashion

+ Ensures claims are submitted in the proper format as defined by the requirements in the facility’s various Third-Party Payer contracts.

+ As required, may need to reach out to a specific payer, provider, or patient to resolve the edit

+ Follow data entry guidelines by payer type and billing area

+ Verify insurance via system, website, or phone

+ Adds and understands specific data such as modifiers, occurrence codes, value codes, condition codes, payer specific information.

Minimum Qualifications

+ High school or equivalent: college degree preferred

+ Minimum of three (3) years of previous patient registration / insurance verification experience in a healthcare environment; coding and edit/billing experience strongly preferred; general revenue cycle experience is preferred

+ Familiarity with EPIC Patient Access work queues

+ Must have up to date knowledge of third-party rules and regulations

+ NAHAM CHAA certification and / or HFMA CRCR certification within one (1) year of hire

Position Highlights and Benefits

+ 40 Hours per Week - 1st shift/Days

+ Great Benefits and Health Insurance Coverage - Starting Day 1

Ministry/Facility Information

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

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