Employment Type:

Full time

Shift:

Day Shift

Description:

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

• WORK IS ON SITE- LOCAL RESIDENCY REQUIRED

• Minimum High School Graduate or equivalent, college level courses preferred

• Minimum of three (3) to five (5) years of Accounts Receivable/ Collections experience.

• Knowledge of workers’ compensation claims preferred

• Experience with insurance follow up, calling insurance carriers, review of EOB’s, appeal writing preferred

• Working knowledge of CPT, HCPC, and ICD-10 codes

Position Highlights and Benefits

• Full time 40hrs M-F days

• Excellent benefits - 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

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.