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Patient Financial Analyst II
2 months ago
Tria Federal is seeking a highly motivated and skilled Patient Financial Analyst II to join our team. The Patient Financial Analyst will be responsible for processing and reviewing patient inquiries for completion, coordination to other DHA departments for evaluation, and patient communication of all resolutions.
Responsibilities- Inquiry Management: Receive and log patient inquiries; screen and prioritize to ensure timely responses.
- Verification: Verify patient documentation to ensure accuracy and completeness.
- Coordination: Execute established processes to gather input from other departments for comprehensive responses.
- Tool Utilization: Utilize tools and resources such as Tableau Dashboards, Cerner Patient Accounting/Revenue Cycle, and SharePoint for the evaluation and resolution of inquiries.
- Communication: Draft clear and professional patient communication regarding inquiry resolutions.
- Documentation: Manage and securely store all case files, including protected health information (PHI) and personally identifiable information (PII).
- Trend Analysis: Recognize trends in inquiries and assist with implementing preventative measures.
- Process Improvement: Identify opportunities for enhancing internal processes and communicate these improvements effectively.
- Performance Tracking: Accurately track and document program performance KPIs and metrics related to inquiry volume, processing times, and resolution rates.
- Reporting: Communicate findings and updates clearly across various formats.
- Ability to work onsite in the DC/Maryland/Virginia or San Antonio, TX area.
- Able to obtain security clearance (Public Trust).
- Proficient in Microsoft Word (creating/updating documents), Microsoft Excel (creating/updating spreadsheets, pivot tables, and formulas), and Microsoft PowerPoint.
- Familiarity with HIPAA requirements.
- Familiarity with health insurance payer policies and denials management process.
- Strong analytical skills and exceptional problem-solving skills.
- Ability to independently manage multiple priorities.
- Excellent written and verbal communication skills.
- Strong personal integrity and the ability to form effective relationships with internal and external stakeholders involved in the inquiry process.
- Experience within the Military Health System (MHS) environment and requisite knowledge of revenue cycle billing and coding policies and regulations.
- Experience with the Oracle/Cerner Electronic Health Record (EHR), Patient Accounting Module (CPAM), Health Analytics, ideally in the MHS environment.
- Experience working in Patient Billing Department.
- 3+ years communication/customer service experience in the healthcare industry.
- 2+ year of claim or appeal processing experience in the healthcare industry.
