HME / DME Billing Analyst

Employment Type:

Full time

Shift:

Day Shift

Description:

Position Summary: The Billing Analyst is responsible for a variety of tasks and activities including processing orders, checking insurance eligibility, and obtaining insurance authorizations, accounts receivables, invoices, and billing for durable medical equipment and supplies. She/he supports ChelseaCare HME (CCHME) colleagues and provides logistical assistance to the HME Manager.

Qualifications: Minimum high school education, excellent verbal/written communication skills, and computer experience are required. Experience in billing is preferred.

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 Chelsea Hospital/Trinity Health. Discusses patient and hospital information only among appropriate personnel in appropriately private places.

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.

Demonstrates self-directed learning.

Behaves in accordance with the Mission, Vision and Values of Chelsea Hospital/Trinity Health.

Provides quality patient care by considering the age specific, development and cultural needs through competent clinical practice. Demonstrates unit/area competencies.

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

Practices effective communication in all interactions (patient, visitor, co-worker, etc.)

Promotes a positive work environment by demonstrating teamwork.

Billing Analysts can have several different work responsibilities:

Processes accounts receivable for equipment and services rendered.

Processes insurance related issues such as verifying the completeness and accuracy of orders prior to claims submission

Processes monthly patient statements and initiates collections

Reviews updates on insurance and governmental guidelines and regulations

Processes physician orders and checks insurance coverage and eligibility, provides financial quotes to patients and obtains insurance authorizations.

May triage incoming faxes and divert to appropriate person or file documents in patients records.

Monitor and work to resolve issues in software workqueues (incorrect order received/no order on file/CMN expired or not on file to be able to dispense equipment or supplies)

Provides customer service for all billing issues

Contributes to cost containment initiatives

Performs other duties as assigned

Required Education, Experience and Certification/Licensure

1) Minimum high school education,

2) Excellent verbal/written communication skills

Required Skills and Abilities

Computer experience. Excellent customer satisfaction skills. Prefer medical billing certification

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.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran