Trinity Health

Medical Billing and Coding

• Work Remote Position (Pay Range: $19.2123-$28.8184)
• Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location
• Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts
• Provides training and guidance to lower level colleagues and provide problem resolution as needed
• This position reports directly to a Supervisor Billing & Follow-Up
• 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 includes 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 obtain demographic, clinical, financial, and insurance information
• Performs all 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 and 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
• Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created
• Provides problem resolution to billing and follow-up issues as needed
• Other duties as needed and assigned by the supervisor

Billing and Follow-up Representative II – Hospital Medical Billing Follow-up Variance

Therapist

• Provide skilled, one‑on‑one therapy services in the comfort of patients’ homes
• Assess patient needs and develop individualized treatment plans
• Deliver evidence‑based interventions
• Educate patients and caregivers to support safe recovery at home
• Practice at the top of your license with greater flexibility and autonomy

Home Health Physical Therapist, PT

Financial Planning and Analysis

• Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency
• Responsible for auditing of department information, producing reports & suggesting improvements to processes
• Provides knowledge & expertise in the program, services & applications
• Researches, collects & analyzes information
• Identifies opportunities, develops solutions, & leads through resolution
• Collaborates on performance improvement activities
• Responsible for distribution of analytical reports
• Utilizes multiple system applications to perform analysis, create reports & develop educational materials

Senior Analyst, Financial Operations

• Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location
• Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts
• Provides training and guidance to lower level colleagues and provide problem resolution as needed
• 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 includes 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 obtain demographic, clinical, financial, and insurance information
• Performs all 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 and 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.
• Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created
• Provides problem resolution to billing and follow-up issues as needed

Billing and Follow-up Representative II – Hospital Medical Billing Follow-up – Commercial Payors

Call Center Representative

• Provides administrative service, support, navigation & / or solutions
• Performs clerical functions including customer service, data entry, maintenance & organization of records
• Collaborate on performance improvement activities as indicated by outcomes in program efficiency & patient & / or customer experience
• Respond to HR inquiries related to benefits, payroll, leave administration

Billing and Follow-up Representative II – Hospital Medical Billing Follow-up Variance

Home Health Physical Therapist, PT

Senior Analyst, Financial Operations

Billing and Follow-up Representative II – Hospital Medical Billing Follow-up – Commercial Payors

Agent, Colleague Support, HRSS – Tier I Contact Center