Data Integrity Specialist

3 weeks ago


South Bend, Indiana, United States Trinity Health Full time
Job Summary

The Data Integrity Specialist is responsible for assisting with revenue cycle performance improvement initiatives by providing analytical and operational support to the Director of Patient Access & Financial Services and management staff. This role involves collecting, compiling, and presenting weekly/monthly statistical information on department and staff productivity and performance, insurance denials, wrong encounter, and uncompensated care trends to leadership. The successful candidate will be responsible for identifying performance trends, analyzing these trends through detailed account reviews, and preparing recommendations to management regarding areas requiring process improvement or additional training needs.

Key Responsibilities

• Collects, compiles, and presents statistical information on department and staff productivity and performance, insurance denials, wrong encounter, and uncompensated care trends to leadership.
• Identifies performance trends, analyzes these trends through detailed account reviews, and prepares recommendations to management regarding areas requiring process improvement or additional training needs.
• Updates registrations held due to incorrect and/or missing data (DNFB review, denial follow-up, and pre-bill edits) and audits registrations in order to ensure data integrity and compliance of process guidelines.
• Works error reports returned from electronic eligibility vendor and corrects patient accounts within the bill hold timeframe ensuring timely claims processing.
• Identifies duplicate medical records numbers, notifies, and coordinates the remediation with Health Information Management and other affected departments.
• Provides subject matter expert support to training staff including orientation and continuing education.

Requirements

• High school diploma required. Associate's Degree or an equivalent combination of years of education and experience with performance analysis and data entry skills (50-60 keystrokes per minute).
• Demonstrated knowledge of Medical Terminology, Statistical Analysis, and other related coursework is desired to meet job requirements.
• Certified Healthcare Access Associate (CHAA) credentials by the National Association of Healthcare Access Management (NAHAM) and/or Certified Patient Account Technician (CPAT) credentials by the American Association of Healthcare Administrative Management (AAHAM) is also preferred.
• Past work experience of at least 3 years in a healthcare setting or financial service setting in a position performing analytical data reviews and training activities is required.

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.
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