Employment Type:

Full time

Shift:

Description:

This position is not remote; the selected individual will work on-site for each day scheduled. Responsible for the complete and accurate collection of patient demographic and financial information for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers patients and determines preliminary patient and insurance liability. Performs routine account analysis and problem solving. Resolves patient account issues. Determines need for and obtains authorization for home medical equipment. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient responsibility, facilitating collection of co-pay, deductible and private pay balances.

Essential Functions and Responsibilities:

Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participates in their resolution.

Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to ChelseaCare Home Medical Equipment.

Maintains knowledge to perform the duties of the job. Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.

Identifies and assists in resolution of problems related to safety, and maintenance of the environment.

Obtains, verifies and enters patient identification, demographic information, and insurance coverage into the electronic medical record to ensure accurate and timely submission of claims.

Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists patients with questions regarding financial liability or refer to appropriate resource(s).

Inform patients on cost of treatment, insurance benefits, resources for payment and financial assistance. Secures and documents payment arrangements.

Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to be invoked.

Required Education, Experience and Certification/Licensure

Education:

High school diploma or an equivalent combination of education and experience. Associate degree in accounting or business administration highly preferred.

Experience:

1+ years of experience in customer service with financial responsibilities required.

Experience in health care, insurance, or managed care industries is highly preferred.

Experience performing medical claims processing, financial counseling and clearance, or accounting is also highly preferred.

Required Skills and Abilities:

Ability to commute to Trinity Health Chelsea for each day scheduled.

Must have experience with the core offerings of the Microsoft suite (Word, PowerPoint, Excel).

Strong verbal and written communication skills.

Strong critical thinking, interpersonal and problem-solving skills.

Strong data entry and organizational skills.

Must be accurate and possess high level of attention to detail.

Able to work independently and have good time management skills.

Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid, managed care contracts and coordination of benefits is highly desired.

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.