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Credit Resolution Representative-II (Hospital Claims) - PFS (Remote)
Trinity Health
New Mexico
Aged Care Worker
Employment Type: Full time Shift: Description: Hourly Pay Range: Min: $17.
1 month(s) ago
Credit Resolution Representative-II (Hospital Claims) - PFS (Remote)
Trinity Health
New Mexico
Aged Care Worker
Employment Type: Full time Shift: Description: Hourly Pay Range: Min: $17.
1 month(s) ago
Credit Resolution Representative II - PFS (Remote)
Trinity Health
New Mexico
Admin and Clerical
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $19.
1 month(s) ago
Credit Resolution Representative II - PFS (Remote)
Trinity Health
New Mexico
Admin and Clerical
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $19.
1 month(s) ago
Customer Service Representative-I (Escalations & Self Pay) - PFS (Remote)PFS (I) Remote
Trinity Health
New Mexico
Admin and Clerical
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $19.
1 month(s) ago
Customer Service Representative-I (Escalations & Self Pay) - PFS (Remote)PFS (I) Remote
Trinity Health
New Mexico
Admin and Clerical
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $19.
1 month(s) ago
Billing and Follow up Representative-I (Hospital Medical Billing Follow-up -Commercial Payors- Iowa) - PFS (Remote)
Trinity Health
New Mexico
Admin and Clerical
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $17.
1 month(s) ago
Billing and Follow up Representative-I (Hospital Medical Billing Follow-up -Commercial Payors- Iowa) - PFS (Remote)
Trinity Health
New Mexico
Admin and Clerical
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $17.
1 month(s) ago
Medical Receptionist - Primary Care Farmington Hills
Trinity Health
New Mexico
Admin and Clerical
Employment Type: Full time Shift: Day Shift Description: Medical Receptionist Deliver Outstanding Service to Every Patient!
1 month(s) ago
Medical Receptionist - Primary Care Farmington Hills
Trinity Health
New Mexico
Admin and Clerical
Employment Type: Full time Shift: Day Shift Description: Medical Receptionist Deliver Outstanding Service to Every Patient!
1 month(s) ago
Posted 1 month(s) ago
Reference: 2330653
Employment Type:
Full timeShift:
Description:
Hourly Pay Range: Min: $17.67 - $26.47
POSITION PURPOSE = Work Remote Position
Performs day-to-day activities required to process credit account balances from patients and insurances within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as a member of a team at an assigned PBS location responsible for reducing patient balance account receivable credits and coordinating with the customer service team to communicate to patients regarding overpayments. Responsibilities require expertise in determining the root cause of credit balances and in taking the appropriate steps to resolve issues resulting in full adjudication of an account. Work activities include posting patient balance refunds and rebilling claims as needed to maintain manageable credit accounts receivable and to ensure accurate submission of claims and patient statements. This position reports directly to the Supervisor Payment Posting.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions
Performs daily activities of the Payment Posting team which reviews, monitors and performs follow up on patient credit accounts receivable as part of the revenue cycle process for an assigned PBS location
Documents corrections regarding discrepancies created, and outstanding items and exceptions in appropriate systems regarding rejections and follow up activities performed in order to enable others to review claim history on all accounts.
Tracks data on payment activity and findings for the Supervisor.
Performs account adjustments or write-offs as needed in accordance with the Write-off- Policy.
Researches credit balances caused by payment posting and prepares appropriate documentation.
Serves as a back up to the Payment Posting Representatives.
Prepares refund checks to patients and enters data into appropriate system.
Performs duties in a manner which promotes accurate cash posting and reconciliation.
Adheres to proactive practices, including cash posting of all incoming payments in a timely and effective manner.
Performs processes related cash posting to ensure such activities are submitted timely, tracked, trended and reported to key stakeholders.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS
High school diploma or Associate's degree in Accounting or Business Administration with at least two (2) years of experience and relevant knowledge of revenue cycle functions and systems within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities or an equivalent combination of education and experience. Some knowledge of health insurance and governmental programs, regulations, and billing processes, e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts and coordination of benefits is highly desired. Experience in a complex, multi-site environment preferred.
Experience with medical claims credit resolution working with all commercial and government payors needed
Experience working with the Epic medical system highly desirable
Proficient in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Excellent written and verbal communication skills and organizational abilities.
Strong interpersonal skills in interacting with internal and external customers.
Strong accuracy, attention to detail and time management skills.
Completion of regulatory/mandatory certifications and skills validation competencies preferred.
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards.
Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
Performs day-to-day activities required to process credit account balances from patients and insurances within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as a member of a team at an assigned PBS location responsible for reducing patient balance account receivable credits and coordinating with the customer service team to communicate to patients regarding overpayments. Responsibilities require expertise in determining the root cause of credit balances and in taking the appropriate steps to resolve issues resulting in full adjudication of an account. Work activities include posting patient balance refunds and rebilling claims as needed to maintain manageable credit accounts receivable and to ensure accurate submission of claims and patient statements. This position reports directly to the Supervisor Payment Posting.
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.
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Posted 1 month(s) ago
Reference: 2330652
Employment Type:
Full timeShift:
Day ShiftDescription:
POSITION PURPOSE
Work Remote Position
(Pay Range: $19.5965--$29.3948)
Performs day-to-day activities required to process credit account balances from patients and insurances within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as a member of a team at an assigned PBS location responsible for reducing account receivable credits, communicating with insurance companies, and coordinating with the customer service team to communicate to patients regarding overpayments. Responsibilities require expertise in determining the root cause of credit balances and in taking the appropriate steps to resolve issues resulting in full adjudication of an account. Work activities include posting payments and rejections from insurance companies and rebilling claims as needed to maintain manageable credit accounts receivable and to ensure accurate submission of claims and patient statements. This position reports directly to the Supervisor Payment Posting.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions
Performs daily activities of the Payment Posting team which reviews, monitors and performs follow up on insurance, patient, and Medicare credit accounts receivable as part of the revenue cycle process for an assigned PBS location
Documents corrections regarding discrepancies created, and outstanding items and exceptions in appropriate systems regarding rejections and follow up activities performed in order to enable others to review claim history on all accounts.
Tracks data on payment activity and findings for the Supervisor.
Performs account adjustments or write-offs as needed in accordance with the Write-off- Policy.
Researches credit balances caused by payment posting and prepares appropriate documentation.
Provides feedback to the Cash Posting team based on credits worked.
Serves as a back up to the Payment Posting Representatives.
Prepares refund checks to patients and insurances and enters data into appropriate system.
Performs duties in a manner which promotes accurate cash posting and reconciliation.
Adheres to proactive practices, including cash posting of all incoming payments in a timely and effective manner.
Performs processes related cash posting to ensure such activities are submitted timely, tracked, trended and reported to key stakeholders.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS
High school diploma or Associate's degree in Accounting or Business Administration or related field, with up to three (3) or more years of relevant knowledge of revenue cycle functions and systems and experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. CPA certification preferred. Experience in a complex, multi-site environment preferred.
Proficient in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Excellent written and verbal communication skills and organizational abilities.
Strong interpersonal skills in interacting with internal and external customers.
Strong accuracy, attention to detail and time management skills.
Completion of regulatory/mandatory certifications and skills validation competencies preferred.
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards.
Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assign
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.
Apply Now
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Sign in to pre-fill your personal details, attachments and more.
Success!
Your application has been submitted.
Customer Service Representative-I (Escalations & Self Pay) - PFS (Remote)PFS (I) Remote
Trinity Health View all jobs
Posted 1 month(s) ago
Reference: 2330796
Employment Type:
Full timeShift:
Day ShiftDescription:
POSITION PURPOSE
Work Remote Position
(Pay Range: $19.2123-$28.8184)
Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location.
Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner.
Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s).
Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor.
Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service.
Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders.
Performs other duties as needed and assigned by the supervisor.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS
High school diploma or Associate's degree in Accounting or Business Administration or related field, and at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner.
Excellent verbal and written communication skills and organizational abilities.
Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs.
Accuracy, attention to detail and time management skills.
Ability to work independently and operate keyboard and telephone effectively.
Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Completion of regulatory/mandatory certifications and skills validation competencies preferred
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards.
Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned
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.
Apply Now
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Sign in to pre-fill your personal details, attachments and more.
Success!
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Billing and Follow up Representative-I (Hospital Medical Billing Follow-up -Commercial Payors- Iowa) - PFS (Remote)
Trinity Health View all jobs
Posted 1 month(s) ago
Reference: 2330819
Employment Type:
Full timeShift:
Day ShiftDescription:
POSITION PURPOSE
Work Remote Position
(Pay Range: $17.4969-$26.2454)
Performs day-to-day billing and follow-up activities within the revenue operations of an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team at a PBS location responsible for billing and follow-up of government and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location.
Documents claims billed, paid, settled, and follow-up in appropriate system(s).
Identifies and escalates issues affecting accurate billing and follow-up activities.
Adheres to proactive practices which include contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner.
Communicates with appropriate hospital departments to clarify billing discrepancies and obtains demographic, clinical, financial, and insurance information.
.
Performs all routine follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays. Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner.
Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution.
Proactively follow up on delayed payments by contacting patients and third-party payers determining the cause for delay and supplying additional data as required.
May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc.
Other duties as needed and assigned by the supervisor.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior..
MINIMUM QUALIFICATIONS
High School diploma and successful completion of Trinity Health Trainee program as well as achievement of related program productivity and quality standards or at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Completion of regulatory/mandatory certifications and skills validation competencies preferred.
Excellent verbal and written communication and organizational abilities.
Strong interpersonal skills are necessary in dealing with internal and external customers.
Accuracy, attention to detail and time management skills.
Ability to work independently.
Ability perform billing and follow-up activities in a prompt and accurate manner in order to reduce potential financial loss to the patient and the Ministry Organization.
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards.
Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate.
Must be able to set and organize own work priorities and adapt to them as they change frequently.
Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned
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.
Apply Now
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Sign in to pre-fill your personal details, attachments and more.
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Posted 1 month(s) ago
Reference: 2316799
Employment Type:
Full timeShift:
Day ShiftDescription:
Medical Receptionist
Deliver Outstanding Service to Every Patient!
Trinity Health IHA Medical Group is looking for a customer-focused Medical Receptionist to join our team. In this role, you'll serve as the first point of contact for patients, helping create a positive experience while supporting efficient office operations and exceptional patient care.
What You'll Do:
- Welcome patients and visitors with professionalism and compassion.
- Check patients in and verify registration and insurance information.
- Schedule, confirm, and reschedule appointments.
- Answer phones, respond to inquiries, and route messages appropriately.
- Collect payments and support accurate billing processes.
- Assist with patient communications, paperwork, and MyChart support.
- Maintain patient records and support day-to-day office operations.
- Partner with providers and clinical staff to ensure a smooth patient experience.
General Requirements:
- EDUCATION: High School Diploma or GED or between the ages of 15-17 with a valid work permit from their high school. Course work in insurance/billing, medical practice education or seminars are preferred, but not required.
- CREDENTIALS/LICENSURE: None
- MINIMUM EXPERIENCE: 1-2 years of experience in a medical or physician office or customer service environment preferred.
Why Join Trinity Health IHA Medical Group?
- Day-one benefits for eligible team members with no waiting period.
- Opportunities for career growth and professional development.
- Supportive, team-oriented workplace culture.
- Meaningful work helping patients access the care they need.
- A mission-driven organization serving communities across Southeast Michigan.
At Trinity Health IHA Medical Group, we are committed to delivering outstanding patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you're passionate about helping others and providing exceptional customer service, we'd love to hear from you.
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.
Apply Now
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Sign in to pre-fill your personal details, attachments and more.
Success!
Your application has been submitted.
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