Please read Schedule and Training requirements under Position Highlights below!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
Initial TRAINING requires 4 weeks of Mon-Fri dayshift
Additional EPIC training will be required including daytime hours and some time in CT
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 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.