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 are reviewed and prior auth or predetermination is obtained

Satisfy admission notice requirements for pre-certification/authorization for HMO/commercial payers

Editi, update and file of all new information gathered for each admission

Assist patients with billing related inquiries if necessary

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 Graduate, 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)

Our Mission and Core Values

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 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.