Employment Type:
Full time
Shift:
Day Shift
Description:
Job Title: Specialist, Patient Access
Employment Type: Full-time
Shift: Day (Monday through Friday)
Location: Germantown
Position Purpose
- Provides extensive support covering all aspects of registration related billing claims edits (pre A/R) to submit clean claims to the third-party payers. Responsible for analyzing and working reports/edits for review and to correct demographic, insurance, provider, and charge information as required and according to payer guidelines to ensure claims are billed out accurately and processed for payment timely. Works closely with other departments and multiple specialties to obtain required information and for root cause analysis.
As a “Specialist, Patient Access” you will:
- Reconciles and corrects Patient Access related held claims and/or follows up on edits by correcting and/or collaborating with various departments to correct for resubmission.
- Applies updates to all necessary systems to correct accounts and ensure clean processing upon the next billing cycle.
- Verifies that pre-bill claims are passing internal edits in a timely fashion.
- Ensures claims are submitted in the proper format as defined by the requirements in the facility’s various Third-Party Payer contracts.
- Resolves problems by clarifying issues; researching and exploring answers and alternative solutions; implementing solution and /or escalating unresolved accounts to Manager.
Minimum Qualifications:
- High School graduate or GED
- Familiarity with EPIC Patient Access work queues.
- Minimum of three (3) years of previous patient registration / insurance verification experience in a healthcare environment Previous coding and edit/billing experience strongly preferred. General revenue cycle experience is preferred.
- Must have up to date knowledge of third-party rules and regulations.
- NAHAM CHAA certification and / or HFMA CRCR certification within one (1) year of hire.
- Proficient in Microsoft Office software.
- Must be comfortable operating in a collaborative, shared leadership environment.
- Strong analytic and problem-solving abilities and techniques with attention to detail. Strong problem-solving skills and analytical abilities to resolve routine to moderately complex problems.
- Well-developed interpersonal, written, verbal, and presentation communication skills to effectively communicate with other departments, vendors, and providers.
Pay Range: $19.72 - $27.61
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
[FT/PT Benefit eligible Roles]:
**0.5 FTE (20 hours weekly) up to 1.0 FTE (40 hours weekly)
Position Highlights and Benefits:
- Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment.
- Work/Life balance with flexible schedules.
- Free onsite parking.
- Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.
- Referral Rewards Program
Position Highlights:
- Work/Life balance with flexible schedules.
- Free onsite parking.
- Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.
- Referral Rewards Program
Holy Cross Health is a Catholic, not-for-profit health system that serves the two most populous counties in Maryland, Montgomery and Prince George’s, with a commitment to being the most trusted provider of health-care services in the area. Founded in 1963 by the Sisters of the Holy Cross, Holy Cross Health is a member of Trinity Health of Livonia, Michigan. Holy Cross Hospital, in Silver Spring, is one of the largest hospitals in Maryland, and Holy Cross Germantown Hospital is the first hospital in the nation built on a community college campus, enhanced by an educational partnership. The Holy Cross Health Network operates primary-care practices and affordable health centers, and offers a wide range of innovative, community-based health and wellness programs. Specialty care, home care and hospice services round out Holy Cross Health’s high-quality and coordinated continuum of care that aims to improve health and let you live life on your own terms.
Holy Cross Health is an Equal Employment Opportunity (EEO) employer.
Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.
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.