Easter Seals Jobs

Employment Type:

Full time

Shift:

Description:

Trinity Health Mid-Atlantic is seeking a Data Integrity Clerk to join out team based out of Newtown, Pennsylvania!

This Full Time role is onsite and remote work is not available at this time.

Provides clerical support for the electronic medical record. Reviews and verifies various data points, demographic, insurance and provider information. Works closely with other departments and multiple specialties to obtain required information and for root cause analysis.

ESSENTIAL FUNCTIONS

1. Knows, understands, incorporates, and demonstrates the mission, vision, and values of Trinity Health in leadership, behaviors, practices, and decisions.

2. Adds and understands specific data such as modifiers, occurrence codes, value codes, condition codes, payer specific information.

3. Applies updates to all necessary systems to correct accounts and ensure clean processing upon the next billing cycle.

4. Ensures claims are submitted in the proper format as defined by the requirements in the facility’s various Third-Party Payer contracts.

5. Follows data entry guidelines by payer type and billing area.

6. Verifies insurance via system, website, or phone.

7. Resolves problems by clarifying issues; researching and exploring answers and alternative solutions; implementing solution and /or escalating unresolved accounts to Manager.

8. Identifies registration edit issues, data entry problems and/or educational needs and opportunities to reduce denials and increase payment and communicate trends to the Manager.

9. Escalates situations/issues to Manager, as appropriate.

10. Participates in the testing for assigned software applications, including verification of field integrity.

11. Maintains a working level knowledge of applicable Federal, State and local laws and regulations, Trinity Health’s Corporate Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

MINIMUM QUALIFICATIONS

1. High school graduate.

2. One to three years previous experience working in Healthcare; EMR experience preferred.

3. Familiarity with EPIC Patient Access work queues strongly preferred.

4. Proficient in Microsoft Office software.

5. Must be comfortable operating in a collaborative, shared leadership environment.

6. Strong analytic and problem-solving abilities and techniques with attention to detail. Strong problem-solving skills and analytical abilities to resolve routine to moderately complex problems.

7. Well-developed interpersonal, written, verbal, and presentation communication skills to effectively communicate with other departments, vendors and providers.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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