20 open positions available
Prepare and analyze quantitative performance data, develop and maintain reporting tools, present findings to leadership, and manage analytics projects coordinating multiple stakeholders. | Degree in business or related field preferred, experience in healthcare analytics and reporting, familiarity with statistical software and data management, and project coordination skills. | Employment Type: Full time Shift: Description: Mission Statement: ·We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. Vision: ·To be world-renowned for passionate patient care and outstanding clinical outcomes. Core Values: ·In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are. RELATIONSHIP-BASED CAREGUIDING PRINCIPLES: Caring and healing practices are found in relationships, communication and the hospital setting. Patients are actively involved in their care and experience a therapeutic relationship with the caregiver. Patient care is designed to meet patient and family needs while taking into account the unique needs of each patient. These values are consistent in practice and include patient advocacy, safety and education. Teamwork promotes clinical excellence and is rooted in effective communication, accountability and continuity of care and respect for co-workers. Caring leaders create an environment in which caring relationships happen. These leaders emerge from all levels of the network helping to create a shared vision reflecting the mission, vision, and values of St. Joseph’s. POSITION SUMMARY: Performance Measurement & Analysis - Prepare quantitative measurement and analysis of quality, cost, financial and operations measures for assigned projects or teams; Regularly monitor performance and highlight trends and opportunities for improvements to leaders and stakeholders.; Model and forecast data using advanced statistical software and methodologies Data Management - Develop, maintain and utilize databases and reporting tools to extract data, generate reports and dashboards in a meaningful way; Perform routine audits of data, reports and analysis; trouble-shooting issues to resolution; Participates in the development and maintenance of standard data definitions and reporting methodologies. Presentation of data and findings in a clear and concise manner to various levels of leadership and internal or external stakeholders; Provide consultative interpretation of performance metrics and statistical analyses. Provide ad-hoc analytics and reports via a variety of systems (McKesson Performance Analytics, Epic, external data sets, Midas) and tools (Excel, R, SQL, HBI, Access, Business Objects, Spotfire) Project Management - serve as the primary contact for analytics projects. Coordinate IT, BAU, vendors and other stakeholders to meet project needs. EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE: Degree in Finance, Business Administration, Computer/Information Science or related disciplines is preferred but will also consider candidates with clinical disciplines and some technical background. Previous experience in a healthcare setting, reporting & analytics and or Lean Six Sigma concepts are a plus. Understanding of healthcare quality data is a plus. Pay Range: based on experience and location: $31.00-$43.50 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.
The Customer Service Representative performs day-to-day customer service activities within the hospital revenue operations, ensuring excellent customer satisfaction through timely and professional follow-up. This role involves assisting patients with billing issues and documenting customer interactions and resolutions. | Candidates must have a high school diploma or an associate degree in a related field, along with at least one year of relevant experience in a healthcare financial service setting. Strong communication skills and the ability to work independently are essential. | Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Hours: 9:30 a.m. to 6:00 p.m. (EST) - Monday thru Friday Work Remote Position (Pay Range: $19.2123-$28.8184) Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location. Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner. Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s). Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor. Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service. Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders. Performs other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field, and at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner. Excellent verbal and written communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs. Accuracy, attention to detail and time management skills. Ability to work independently and operate keyboard and telephone effectively. Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. 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.
Prepare and analyze quantitative performance data, develop reports and dashboards, present findings to leadership, and manage analytics projects coordinating multiple stakeholders. | Degree in business, finance, computer science or related field preferred; experience in healthcare analytics, reporting, Lean Six Sigma concepts, and knowledge of healthcare quality data is a plus. | Employment Type: Full time Shift: Description: Mission Statement: ·We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. Vision: ·To be world-renowned for passionate patient care and outstanding clinical outcomes. Core Values: ·In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are. RELATIONSHIP-BASED CAREGUIDING PRINCIPLES: Caring and healing practices are found in relationships, communication and the hospital setting. Patients are actively involved in their care and experience a therapeutic relationship with the caregiver. Patient care is designed to meet patient and family needs while taking into account the unique needs of each patient. These values are consistent in practice and include patient advocacy, safety and education. Teamwork promotes clinical excellence and is rooted in effective communication, accountability and continuity of care and respect for co-workers. Caring leaders create an environment in which caring relationships happen. These leaders emerge from all levels of the network helping to create a shared vision reflecting the mission, vision, and values of St. Joseph’s. POSITION SUMMARY: Performance Measurement & Analysis - Prepare quantitative measurement and analysis of quality, cost, financial and operations measures for assigned projects or teams; Regularly monitor performance and highlight trends and opportunities for improvements to leaders and stakeholders.; Model and forecast data using advanced statistical software and methodologies Data Management - Develop, maintain and utilize databases and reporting tools to extract data, generate reports and dashboards in a meaningful way; Perform routine audits of data, reports and analysis; trouble-shooting issues to resolution; Participates in the development and maintenance of standard data definitions and reporting methodologies. Presentation of data and findings in a clear and concise manner to various levels of leadership and internal or external stakeholders; Provide consultative interpretation of performance metrics and statistical analyses. Provide ad-hoc analytics and reports via a variety of systems (McKesson Performance Analytics, Epic, external data sets, Midas) and tools (Excel, R, SQL, HBI, Access, Business Objects, Spotfire) Project Management - serve as the primary contact for analytics projects. Coordinate IT, BAU, vendors and other stakeholders to meet project needs. EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE: Degree in Finance, Business Administration, Computer/Information Science or related disciplines is preferred but will also consider candidates with clinical disciplines and some technical background. Previous experience in a healthcare setting, reporting & analytics and or Lean Six Sigma concepts are a plus. Understanding of healthcare quality data is a plus. Pay Range: based on experience and location: $31.00-$43.50 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.
Manage all aspects of healthcare construction projects including design, budgeting, contracting, safety, coordination, and project close-out with full scope, schedule, and financial responsibility. | Bachelor's degree or relevant experience, 5-7 years in architectural design or construction management, knowledge of building codes, CAD experience, capital project management software skills, PMP certification preferred, and ASHE CHC certification required within 3 months. | Employment Type: Full timeShift: Description: Purpose Will manage all aspects of construction projects to include design, capital budgeting, contracting, negotiating, bidding, construction managers, safety, coordinating IT and medical equipment planning, supporting building activation and occupancy, and finalizing project close-out. Manages projects with complete scope, schedule, and financial responsibility. Responsibilities • Plans and coordinates master planning initiatives in the markets. • Coordinates closely with the Trinity Health approved architects and selects support design partners. • Coordinate across the leadership teams to ensure the coordination of their programs into the management plans of the projects. • Responsibility for construction safety programs and infection control for patients and the Environment of Care during construction operations. • Ensures project reports are delivered in a timely manner to stakeholders. • Responsible for the recommendation of construction management platforms. • May lead a small team; serves as a mentor. • Provides leadership reports regarding project costs and schedule with regular professional level reporting. • Works to support compliance with Joint Commission, CMMS, OSHA, state Department of Health and other governing bodies. • Provides coordination and administration of construction/renovation projects, both on and off campus. • Provides budget cost estimates for in-house projects. • Prepares facilities planning reports by collecting, analyzing, and summarizing information and trends. • Facilitates between the design team, end users, leadership and the authorities having jurisdiction to complete design and construction/state permitting and licensure. • Maintains documentation and prepares reports on construction and renovation projects. • Manages construction projects to schedule and within budget. • Responsible for the activation, transition and go-live of assigned projects. • Coordinates and oversees project components including furniture and equipment procurement, IT, Clinical Engineering, Marketing, and licensure. • Responsible for implementation of the interim life safety and infection control plans. • Identifies current and future facilities planning requirements. • Evaluates facility suitability by inspecting buildings and office areas. • Assists Director, internal customers, and architects with building and campus design. • Complies with federal, state, and local legal facility requirements and advises management on requirements. • Provides functional supervision to in-house facility engineers. • Maintains medical center way-finding standards. Minimum Qualifications Education / Accreditation / Licensure: • Bachelor’s degree in engineering, construction management, or business or relevant work experience required. Years of experience will be considered. Experience: • Minimum of 5-7 years experience in architectural design and/or construction project management. • Total project cost estimating construction. • Experience reading and interpreting construction drawings and specifications. • Must be familiar with building codes. • Basic drafting and CAD (computer aided drafting) experience. • Capital project management software experience. • Financial and operational management and analysis experience with technical estimating and budgeting tools for construction. • Healthcare project experience preferred. • PMP certification is preferred. • American Society of Healthcare Engineers (ASHE) - Certified Healthcare Constructor (CHC) within 3 months of hire. 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.
The Customer Service Representative performs day-to-day customer service activities within the hospital revenue operations, ensuring excellent customer satisfaction through timely and professional follow-up. They assist patients with billing issues, document interactions, and track trends to improve service quality. | Candidates must have a high school diploma or an associate degree in a related field, or at least one year of relevant experience in a healthcare financial service setting. Strong communication skills and the ability to work independently are essential. | Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Hours: 8:30 a.m. to 5:00 p.m. (EST) - Monday thru Friday Work Remote Position (Pay Range: $19.2123--$28.8184) Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location. Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner. Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s). Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor. Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service. Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders. Performs other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field and successful completion of Trinity Health Trainee program as well as achievement of related program productivity and quality standards or at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner. Excellent verbal and written communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs. Accuracy, attention to detail and time management skills. Ability to work independently and operate keyboard and telephone effectively. Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.
Perform customer service activities related to hospital revenue operations, resolving billing issues, and ensuring customer satisfaction in a healthcare setting. | High school diploma or associate degree with at least one year healthcare call center customer service experience and knowledge of billing systems and revenue cycle functions. | Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Hours: 8:30 a.m. to 5:00 p.m. (EST) - Monday thru Friday Work Remote Position (Pay Range: $19.2123-28.8184) Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location. Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner. Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s). Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor. Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service. Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders. Performs other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field and successful completion of Trinity Health Trainee program as well as achievement of related program productivity and quality standards or at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Must have at least one year of healthcare call center customer service experience Experience working with the Epic medical billing system desirable Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner. Excellent verbal and written communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs. Accuracy, attention to detail and time management skills. Ability to work independently and operate keyboard and telephone effectively. Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.
Process orders, verify insurance eligibility and authorizations, manage accounts receivable and billing for medical equipment, and provide customer service for billing issues. | Minimum high school education, excellent communication skills, computer experience, and preferably medical billing certification. | Employment Type: Full timeShift: Day Shift Description: Summary 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. This position is 100% onsite; there is no option to work remotely. 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 workqueue's (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 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 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.
Perform customer service activities related to hospital revenue operations including billing inquiries, complaint resolution, and documentation in a remote team environment. | High school diploma with at least one year of relevant customer service or revenue cycle experience, strong communication and organizational skills, and ability to work independently in a remote setting. | Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Hours: 9:30 a.m. to 6:00 p.m. (EDT) - Monday thru Friday Work Remote Position (Pay Range: $19.2123-28.8184) Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location. Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner. Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s). Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor. Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service. Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders. Performs other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field and successful completion of Trinity Health Trainee program as well as achievement of related program productivity and quality standards or at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner. Excellent verbal and written communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs. Accuracy, attention to detail and time management skills. Ability to work independently and operate keyboard and telephone effectively. Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.
Analyze and report financial data to support operational efficiency and strategic initiatives in healthcare finance. | Bachelor's in finance/accounting, 1-5 years finance experience, hospital/physician practice experience with EPIC, and data analytics skills. | Employment Type: Full timeShift: Day Shift Description: Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing of department information, producing reports & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications TITLE: Sr. Healthcare Finance Data Analyst DEPARTMENT: Financial Operations GENERAL SUMMARY: Dedicated Finance leaders supporting clinical and operational excellence within the Division. Aligned to Divisions/MBOs and/or service lines to drive operational performance and strategic initiatives. Serve as thought-leaders in using financial techniques to support, coach and enable divisional executives and operational leaders to deliver outstanding performance. Act as strategic link between CHI's short/long term goals and tactics executed by operational leaders to achieve goals. ESSENTIAL FUNCTIONS: Collaborates with local operations team in business units (e.g. Divisions, MBOs and/or service lines) to formulate, refine, and operationalize initiaitive and tactics to ensure operational and financial success Owns divisional operational finance performance management at the business-unit level, provides insights, measures success, and coaches leadership on improvement opportunities Provides support to division CFO for division Board and Board Committee meetings and reviews Partners with FP&A and FISA to conduct and interpret financial analysis to support FP&A decision making Translates/communicates business unit initiatives to markets and drives accountability assigned to Executive Sponsors and Champions Serves on Divisional planning and policy making committees as needed Coaches front line business unit managers on operational finance principles Supports development of business unit and/or service line plans/budgets/forecasts, including all specific assumptions and supporting analysis Coordinates with the Division planning/budgeting manager to ensure key insights are incorporated into planning process, and outcomes are clearly defined and communicated back to executive sponsors and champions Collaborates with business unit operational leaders to gather inputs, validate assumptions, and develop action plans for meeting targets 2 Minimum Qualifications • Bachelor's degree in accounting, finance, or related field or combination of education and experience • One (1) to five (5) years of industry/private industry finance experience • Hospital/Physician practice experience with EPIC required, including Epic Clarity • Experience developing end to end data analytics from conceptual idea through effective visualizations Additional Qualifications (nice to have) Experience with relational databases & knowledge of query tools & statistical software (Python, SQL, Tableau, etc.) Advanced knowledge of Excel, including developing spreadsheets with complex formulas, pivot tables, macros. Microsoft Power Automate suite and related tools. Ability to manipulate large sets of data & possess strong analytical organization, presentation & problem-solving skills. 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.
The Charge Analyst is responsible for data capture, analysis, and reporting to assist leadership in achieving operational efficiency. This role includes auditing department information, producing reports, and suggesting process improvements. | Candidates must have a high school diploma or GED and 1-2 years of relevant experience in a hospital or physician practice environment. Experience in revenue cycle, billing, coding, and charge capture is strongly preferred. | Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Position (Pay Range: $21.5178-$32.2766) Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing of department information, producing reports & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications. Note: “patients” refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts. Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. Functional Role (not inclusive of titles or advancement career progression) Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. May perform or provide “at elbow” guidance to clinical departmental daily reconciliation processes including ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors. Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Reviews and responds to various quality reports, including reports that identify missing charges, duplicate charges, late charges, etc. Maintain and update required reference logs and other reporting tools. May create and present information for decision making purposes. Supports other stakeholders with denial related charge reviews including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department. Minimum Qualifications High school diploma or GED Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Charge control/capture work experience strongly preferred. Experience working with current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations; hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors; and billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines. Additional Qualifications (nice to have) Licensure/Certification: RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred. CHC (Healthcare Compliance Certification) preferred. CHRI certification/membership strongly preferred. Physical & Mental Requirements & Working Conditions (General Summary) Direct Healthcare Services / Indirect Healthcare / Support Services: Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional Exposure to interruptions, shifting priorities & stressful situations. Frequent Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Frequent Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent Perform manual dexterity activities & / or grasping / handling. Continuous Ability to climb, kneel, crouch & / or operate foot controls. Occasional Use a computer / other technology. Frequent Sit with the ability to vary / adjust physical position or activity. Frequent Maintain a safe working environment & use available personal protective equipment (PPE). Continuous Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines. Continuous Ability to provide assistance in the event of an emergency. Occasional Direct Healthcare Services: Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional Lift a maximum of 30 pounds unassisted. Occasional Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Occasional Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional Indirect Healthcare / Support Services: Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional Lift a maximum of 30 pounds unassisted. Occasional Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional Encounter a clinical / patient facing / hands on interactive work environment. Occasional Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous Work outdoors with variable external environmental conditions. Occasional Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%) 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.
Responsible for data capture, analysis, and reporting to assist leadership in achieving operational efficiency. Audits department information, produces reports, and suggests improvements to processes. | Requires a high school diploma or GED and a minimum of three years of relevant coding and charge control work experience. Strong knowledge of medical terminology and experience with revenue cycle processes are essential. | Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Position Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing department information, producing reports, & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications. Note: “patients” refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts. Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. Functional Role (not inclusive of titles or advancement career progression) Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Assist Nurse Auditor and/or other stakeholders with denial related charge reviews, including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department. Performs daily reconciliation processes and/or provides “at-elbow support” to ancillary departments including but not limited to; ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors. (Pay Range: $24.5303-$36.7954) Minimum Qualifications High school diploma or GED Minimum three (3) years of relevant coding and charge control work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Experience working with current clinical processes, charge master maintenance, clinical coding guidelines, charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field. Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations. Experience working with Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB). Ability to perform charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ability to investigate charge errors accordingly. Epic experience desired. Experience working with Hospital and/or Physician group practice revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors. Additional Qualifications (nice to have) Licensure/Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse/ Licensed Practical Nurse licensure is required. CHC (Healthcare Compliance Certification) CHRI certification/membership strongly preferred. Knowledge of clinical documentation improvement processes strongly preferred Physical & Mental Requirements & Working Conditions (General Summary) Direct Healthcare Services / Indirect Healthcare / Support Services: Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional Exposure to interruptions, shifting priorities & stressful situations. Frequent Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Frequent Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent Perform manual dexterity activities & / or grasping / handling. Continuous Ability to climb, kneel, crouch & / or operate foot controls. Occasional Use a computer / other technology. Frequent Sit with the ability to vary / adjust physical position or activity. Frequent Maintain a safe working environment & use available personal protective equipment (PPE). Continuous Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines. Continuous Ability to provide assistance in the event of an emergency. Occasional 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.
Capture, analyze, and report healthcare billing data to ensure accurate charge capture and compliance, supporting operational efficiency and revenue integrity. | High school diploma with 1-2 years healthcare revenue cycle experience, knowledge of medical terminology, billing, coding, and preferred certifications like RHIA, CCS, or CPC. | Employment Type:Full timeShift:Day Shift Description: Purpose Work Remote Position (Pay Range: $21.5178-$32.2766) Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing of department information, producing reports & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications. Note: "patients" refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts. Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. Functional Role (not inclusive of titles or advancement career progression) Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. May perform or provide "at elbow" guidance to clinical departmental daily reconciliation processes including ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors. Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Reviews and responds to various quality reports, including reports that identify missing charges, duplicate charges, late charges, etc. Maintain and update required reference logs and other reporting tools. May create and present information for decision making purposes. Supports other stakeholders with denial related charge reviews including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department. Minimum Qualifications High school diploma or GED Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Charge control/capture work experience strongly preferred. Experience working with current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations; hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors; and billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines. Additional Qualifications (nice to have) Licensure/Certification: RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred. CHC (Healthcare Compliance Certification) preferred. CHRI certification/membership strongly preferred. Physical & Mental Requirements & Working Conditions (General Summary) Direct Healthcare Services / Indirect Healthcare / Support Services: • Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional • Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional • Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional • Exposure to interruptions, shifting priorities & stressful situations. Frequent • Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Frequent • Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent • Perform manual dexterity activities & / or grasping / handling. Continuous • Ability to climb, kneel, crouch & / or operate foot controls. Occasional • Use a computer / other technology. Frequent • Sit with the ability to vary / adjust physical position or activity. Frequent • Maintain a safe working environment & use available personal protective equipment (PPE). Continuous • Comply with Trinity Health's Code of Conduct, policies, procedures & guidelines. Continuous • Ability to provide assistance in the event of an emergency. Occasional Direct Healthcare Services: • Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional • Lift a maximum of 30 pounds unassisted. Occasional • Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Occasional • Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous • Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional • Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional Indirect Healthcare / Support Services: • Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional • Lift a maximum of 30 pounds unassisted. Occasional • Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional • Encounter a clinical / patient facing / hands on interactive work environment. Occasional • Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous • Work outdoors with variable external environmental conditions. Occasional Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%) 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.
The Customer Service Representative performs day-to-day customer service activities within the hospital revenue operations, ensuring excellent customer satisfaction through timely and professional follow-up. They assist patients with billing issues, document interactions, and track trends to recommend resolutions. | Candidates should have a high school diploma or an associate degree in a related field, along with at least one year of relevant experience in a healthcare financial service setting. Strong communication skills and the ability to work independently are essential. | Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Hours: 9:30 a.m. to 6:00 p.m. (EDT) - Monday thru Friday Work Remote Position (Pay Range: $19.213-28.8184) Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location. Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner. Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s). Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor. Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service. Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders. Performs other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field and successful completion of Trinity Health Trainee program as well as achievement of related program productivity and quality standards or at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner. Excellent verbal and written communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs. Accuracy, attention to detail and time management skills. Ability to work independently and operate keyboard and telephone effectively. Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.
Develop, implement, and maintain coding compliance programs, perform coder audits, update policies, and provide education for coding staff. | Bachelor's or associate degree in Health Information Management or equivalent experience, 5 years hospital coding experience, CCS certification required, CPC or RN preferred. | Employment Type:Full timeShift:Day Shift Description:REQUIRES CERTIFIED CODING SPECIALIST (CCS) CERTIFICATION Position Purpose The Coding Compliance Specialist is primarily responsible the development, implementation and maintenance of an effective compliance program related to the documentation and coding of medical records within the scope of the Health Information Management Department. The Coding Compliance Specialist will be expected to assist in the development of coding policies and procedures, perform coder audits and to support and provide education for coding and Clinical Documentation Improvement specialist to build an effective compliance structure that will provide guidelines to detect, correct, and prevent coding errors. What you will do • Annual review and revision of the HIM Coding Compliance Plan • Assist in the development/updates of departmental coding policies and procedures to support the Official Coding Guidelines, Hospital Specific Guidelines, and the Coding Compliance Program • Review and report on regulatory updates including but not limited to, CMS transmittals, local coverage determinations, proposed/final rules and OIG reports/documents in a timely manner • Develop and present annual Coding Compliance Education for all coding staff for both IPPS and OPPS • Support the System Office in assignments for the online coding educational programs • Provide daily pre-bill SMART monitoring for inpatient encounters, and submit monthly reports to Regional Director of HIM Services and Director HIM Revenue Cycle • Coordinate and conduct inpatient and outpatient chart reviews • Minimum Qualifications • Bachelor or Associate's degree in Health Information Management or equivalent in experience required. • Five years of experience in hospital/facility outpatient and/or inpatient coding required • Previous auditing of ICD coding, and coding compliance experience preferred. • CCS required • CPC or RN in addition to required certification preferred. • Medical terminology, anatomy and physiology, pathophysiology, ICD-10 and CPT coding classification systems, regulatory agency requirements and computer literacy required • Systems include: Epic, 3M 360 CAC, TRACker, Veracity, email and other systems as applicable Position Highlights and Benefits • Full time 40hrs M-F days • Excellent benefits - starting day 1! Ministry/Facility Information Saint Francis Hospitaliscommitted 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.
Manage high-volume physician recruitment including sourcing, communication, negotiation, and coordination with stakeholders. | Bachelor's degree, 3-5 years physician recruitment or related experience, contract negotiation skills, understanding of provider compensation, and preferably healthcare recruitment background. | Employment Type: Full time Shift: Day Shift Description: Physician Recruiter – Albany, NY – Full time If you’re looking for a Physician Recruiter position in Albany, this could be your opportunity! St. Peter’s Health Partners is an exciting and growing healthcare system that cares for more people in more places. This position will require some local travel for site visits and career fair events, but is primarily located at 425 New Scotland Ave. in Albany, NY. This position will have remote options after a 3 month introductory period. What you will do: This is a high-volume recruitment role, responsible for managing up to 40+ physician/advanced practitioners, responsible for sourcing candidates, maintaining communication, negotiating offers and processing candidates through the hire stage. The position requires attendance at evening and weekend recruitment events, including career fairs and networking functions, with some travel involved. Responsibilities: Perform duties related to physician recruitment for either general physician recruitment or designated physician specialties. Assists and coordinates the development of strategic and comprehensive physician recruitment plans in accordance with the needs and goals of St. Peter's Health Care Services. Maintains open and responsive communications between HR, Chief Medical Officer, appropriate Practice Personnel and Candidates. Demonstrates the organization’s commitment to sound ethical business practices as directed by the Corporate Compliance Office and approved by the Board of Trustees. Education Requirements: Bachelor's degree is required. Experience Requirements: Candidates should be results-oriented individuals who can learn quickly and adapt to changing priorities. A strong understanding of provider compensation models is critical. Contract negotiation skills required. The recruiter will work collaboratively with a sourcing partner and onboarding team. A background in healthcare or healthcare recruitment is highly preferred. Must have 3-5 yrs experience in physician recruitment or related physician relations' activities. A background in healthcare or healthcare recruitment is highly preferred. Pay Range: $70,824 - $106,288 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. 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.
Process billing and insurance tasks including order processing, insurance eligibility verification, accounts receivable, and customer service for durable medical equipment and supplies. | Minimum high school education, excellent verbal/written communication skills, computer experience, and preferably medical billing certification. | Employment Type: Full time Shift: Day Shift Description: SummaryPosition 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 work queue's (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 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 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.
Support divisional finance leadership by driving operational performance, financial planning, and strategic initiatives through financial analysis and collaboration with business units. | Bachelor's in finance/accounting, 1-5 years finance experience, hospital EPIC system knowledge, data analytics skills, and advanced Excel proficiency. | Job Description: • Dedicated Finance leaders supporting clinical and operational excellence within the Division. • Aligned to Divisions/MBOs and/or service lines to drive operational performance and strategic initiatives. • Serve as thought-leaders in using financial techniques to support, coach and enable divisional executives and operational leaders to deliver outstanding performance. • Collaborates with local operations team in business units (e.g. Divisions, MBOs and/or service lines) to formulate, refine, and operationalize initiative and tactics to ensure operational and financial success. • Provides support to division CFO for division Board and Board Committee meetings and reviews. • Partners with FP&A and FISA to conduct and interpret financial analysis to support FP&A decision making. • Translates/communicates business unit initiatives to markets and drives accountability assigned to Executive Sponsors and Champions. • Serves on Divisional planning and policy making committees as needed. • Coaches front line business unit managers on operational finance principles. • Supports development of business unit and/or service line plans/budgets/forecasts, including all specific assumptions and supporting analysis. • Coordinates with the Division planning/budgeting manager to ensure key insights are incorporated into planning process, and outcomes are clearly defined and communicated back to executive sponsors and champions. • Collaborates with business unit operational leaders to gather inputs, validate assumptions, and develop action plans for meeting targets. Requirements: • Bachelor’s degree in accounting, finance, or related field or combination of education and experience • One (1) to five (5) years of industry/private industry finance experience • Hospital/Physician practice experience with EPIC required, including Epic Clarity • Experience developing end to end data analytics from conceptual idea through effective visualizations • Experience with relational databases & knowledge of query tools & statistical software (Python, SQL, Tableau, etc.) • Advanced knowledge of Excel, including developing spreadsheets with complex formulas, pivot tables, macros. • Microsoft Power Automate suite and related tools. • Ability to manipulate large sets of data & possess strong analytical organization, presentation & problem-solving skills. Benefits: • 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.
Coordinate sepsis patient care by educating staff, ensuring protocol adherence, and improving treatment outcomes. | Bachelor of Science in Nursing with active Michigan license, 2+ years ICU/ED experience, BLS certification, and clinical expertise in sepsis management. | Employment Type: Full timeShift: Day Shift Description: Sepsis is the leading cause of mortality across the nation and is one of our longest length of stay diagnosis. Additionally, the CMS SEP-1 Criteria determines how well we provide care to our patients and is publicly reported. The Sepsis Coordinator will educate, provider oversight and ensure these patients receive appropriate treatment to reduce harm, LOS and improve our publicly reported measures. POSITION PURPOSE Responsible for the identification and analysis of evidence-based protocols used at SJMO. Works with medical staff to provide real-time education for colleagues for the treatment of sepsis with the end goal of improving quality of care. Engages and interacts with medical staff, resident physicians, allied health professionals, and nursing staff to meet the necessary objectives of standards of care. The coordinator may be asked to participate in other quality initiatives and projects that fall outside the scope of sepsis (or Neuroscience), if necessary, based on the needs of the organization. POSITION QUALIFICATIONS Minimum Education, Licensure / Certification and Experience Education • Bachelor of Science in Nursing required. Masters preferred. Licensure / Certification • Active license to practice nursing in the State of Michigan. • Basic Life Support (BLS) certification. Experience • Minimum of two years experience in Intensive Care Unit (ICU) or Emergency Department setting required. Lean Six Sigma training preferred. • Experience as a Clinical Nurse Specialist preferred. • Experience with current sepsis guidelines preferred. Special Skill / Aptitudes • Continuously seeks opportunities to improve the quality of patient care delivery through innovative and creative resolution finding, becoming expert at point of care support/resolution through use of critical thinking. • Proven ability in the Microsoft Office suite and other PC-based applications. • Ability to use critical thinking, logic and reasoning to address complex situations. • Ability to use and effectively integrate positive communication approaches to meet diverse patient needs, optimize resources, and adapt care processes to accommodate changing patient acuity and unit needs. • Ability to serve as a teacher, mentor, and coach to patients, students, new nurses, peers, other colleagues, and staff, to advance the profession of nursing and optimize patient outcomes. • Excellent interpersonal service skills necessary in order to form and maintain positive relationships with customers and other healthcare professionals. • Excellent customer service orientation skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and community groups. DUTIES / RESPONSIBILITIES • Actively rounds on patients with suspected or confirmed sepsis to ensure patients receive appropriate care. • Evaluates and analyzes utilization of treatment protocols for patients experiencing sepsis at SJMO to reduce mortality rates and decrease patient length of stay. • Utilizes research and evidence-based practice in the delivery of care, to advance nursing practice, and to improve nurse and patient satisfaction, and quality of care with keystone data. Report figures to management and System Office. • Lead meetings with other members of hospital staff and participate in other meeting when called upon to discuss sepsis • Educate Nurses, Nurse Practitioners, Physician Assistants and Residents to identify and treat symptoms in a timely manner. • Uses data and evidence to drive decisions at point of care that improve and optimize care delivery for patients, clinical outcomes, and patient and nurse satisfaction. • Demonstrates principles of Relationship-based Care to cultivate and maintain therapeutic relationships as a means to optimal healing and collegial functioning as interdisciplinary care team members. • Actively engages and participates in unit-based, and other committees/ initiatives that promote patient and workplace safety, optimal clinical outcomes, and satisfaction. • Contributes to the positive image of nursing and enhances the SJMO culture of excellence by modeling professional behavior both in the organization and in the community. • Embraces change and lifelong learning, taking personal accountability to seek out experiences that promote personal and professional growth in order to advance skills and competence. • Utilizes process excellence tools and processes to improve the quality of patient care delivery and outcomes. • Integrates principles of the ZeroHarm/TogetherSafe and demonstrates Trinity Health Guiding Behaviors to provide excellent care of self, patients, and care team members. • Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behaviors • Demonstrates and actively promotes an understanding and commitment to the mission of St. Joseph Mercy Oakland through performing behaviors consistent with the Trinity Health Values. • Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behaviors. • Recognizes and promotes the unique contributions of all care team members providing clinical resource support. • Additional duties as assigned. 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.
Prepare and analyze performance and quality data, develop reports and dashboards, present findings to leadership, and manage analytics projects. | Degree in Finance, Business Administration, Computer/Information Science or related field preferred, with healthcare experience and Lean Six Sigma knowledge as a plus. | Employment Type: Full time Shift: Description: Mission Statement: ·We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. Vision: ·To be world-renowned for passionate patient care and outstanding clinical outcomes. Core Values: ·In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are. RELATIONSHIP-BASED CAREGUIDING PRINCIPLES: Caring and healing practices are found in relationships, communication and the hospital setting. Patients are actively involved in their care and experience a therapeutic relationship with the caregiver. Patient care is designed to meet patient and family needs while taking into account the unique needs of each patient. These values are consistent in practice and include patient advocacy, safety and education. Teamwork promotes clinical excellence and is rooted in effective communication, accountability and continuity of care and respect for co-workers. Caring leaders create an environment in which caring relationships happen. These leaders emerge from all levels of the network helping to create a shared vision reflecting the mission, vision, and values of St. Joseph’s. POSITION SUMMARY: Performance Measurement & Analysis - Prepare quantitative measurement and analysis of quality, cost, financial and operations measures for assigned projects or teams; Regularly monitor performance and highlight trends and opportunities for improvements to leaders and stakeholders.; Model and forecast data using advanced statistical software and methodologies Data Management - Develop, maintain and utilize databases and reporting tools to extract data, generate reports and dashboards in a meaningful way; Perform routine audits of data, reports and analysis; trouble-shooting issues to resolution; Participates in the development and maintenance of standard data definitions and reporting methodologies. Presentation of data and findings in a clear and concise manner to various levels of leadership and internal or external stakeholders; Provide consultative interpretation of performance metrics and statistical analyses. Provide ad-hoc analytics and reports via a variety of systems (McKesson Performance Analytics, Epic, external data sets, Midas) and tools (Excel, R, SQL, HBI, Access, Business Objects, Spotfire) Project Management - serve as the primary contact for analytics projects. Coordinate IT, BAU, vendors and other stakeholders to meet project needs. EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE: Degree in Finance, Business Administration, Computer/Information Science or related disciplines is preferred but will also consider candidates with clinical disciplines and some technical background. Previous experience in a healthcare setting, reporting & analytics and or Lean Six Sigma concepts are a plus. Understanding of healthcare quality data is a plus. Pay Range: based on experience and location: $31.00-$43.50 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.
Perform customer service and billing inquiries related to hospital revenue operations, resolve billing issues, document interactions, and support revenue cycle processes remotely. | High school diploma or associate degree with at least 1 year of healthcare revenue cycle or related customer service experience, strong communication and organizational skills, and basic Microsoft Office proficiency. | • *Employment Type:** Full time • *Shift:** Day Shift • *Description:** • *POSITION PURPOSE** Work Remote Position Work Hours: 9:30 a.m. to 6:00 p.m. (EDT) - Monday thu Friday (Pay Rate: $18.8367-$28.2551) Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. • *ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location. Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner. Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s). Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor. Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service. Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders. Performs other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. • *MINIMUM QUALIFICATIONS** High school diploma or Associate's degree in Accounting or Business Administration or related field, and at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner. Excellent verbal and written communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs. Accuracy, attention to detail and time management skills. Ability to work independently and operate keyboard and telephone effectively. Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. • *PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS** This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. • *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. 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 Trinity Health
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