Billing & Collections Specialist - Occupational Health Department

Worker's Compensation Team Member

Come join our Worker's Compensation team at Saint Francis Hospital, a member of Trinity Health Of New England! WORK IS ON SITE- LOCAL RESIDENCY REQUIRED

Position Purpose :

Develops a networking relationship with workers' compensation carriers, managed care organizations and employers for the purpose of ensuring timely payment of occupational medicine clinic patient charges. Communicates effectively with clinical operations and administrative personnel concerning the transmission of medical chart documentation for the purposes of bill resubmissions and appeals. Analyzes EOB's (Explanation of Benefits) from payers to determine the accuracy of their reimbursement to the occupational medicine program.

What you will do :

• Communicate effectively on a continual basis with the Collections Manager
• Review EOB denials and identifies denial trends along with solutions for resolution
• Run accounts receivable aging report to follow up on outstanding insurance payments that need to be reviewed for additional follow up
• Identify claims that need to be appealed and process appeal in a timely manner
• Establish working relationship with clinical site personnel for the effective transfer of information

Minimum Qualifications :

Position Highlights and Benefits :

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 :

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.