Position Purpose
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.
What you will do
Communicate effectively on a continual basis with the Collections Manager
Review EOB denials and identifies denial trends along with solutions for resolution
Run accounts receivable aging report to follow up on outstanding insurance payments that need to be reviewed for additional follow up
Identify claims that need to be appealed and process appeal in a timely manner
Establish working relationship with clinical site personnel for the effective transfer of information
Minimum Qualifications
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
Position Highlights and Benefits
Full time 40hrs M-F days
Excellent benefits - 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 to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. 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 law.