Revenue Cycle Claims Specialist

Trinity Health; Minot (ND); On-site; USD 42,000 - 55,000; Full time

Job summary

Trinity Health is seeking an Account Representative to support the revenue cycle by preparing, reviewing, and submitting accurate medical claims to third-party payers in line with regulatory standards. This role requires collaboration with clinical teams, patient access staff, coders, and billing personnel to gather information and resolve discrepancies for timely reimbursement.

You will contribute to accurate documentation and ongoing process improvements in a collaborative, supportive work

Responsibilities

• Prepare, review, and submit compliant medical claims through approved billing and electronic data interchange systems.
• Verify accuracy of patient demographics, insurance information, coding, and supporting documentation prior to claim submission.
• Collaborate with internal departments to obtain missing or corrected information required for claim completion.
• Monitor the status of submitted claims, identify delays, and resolve issues that impact timely reimbursement.
• Review and correct denied or rejected claims, ensuring resubmission within payer timelines and regulatory requirements.
• Maintain comprehensive documentation of billing activities, communications, and follow up actions within the billing system.
• Recognize patterns in payer denials, documentation deficiencies, or workflow issues and notify appropriate leadership.
• Assist with internal audits and quality improvement initiatives related to billing accuracy and compliance.
• Maintain current knowledge of billing regulations, payer requirements, and updates to coding and documentation standards.

Job description

Trinity Health is seeking an Account Representative to support the revenue cycle by preparing, reviewing, and submitting accurate medical claims to third-party payers in line with regulatory standards. This role requires collaboration with clinical teams, patient access staff, coders, and billing personnel to gather information and resolve discrepancies for timely reimbursement.

You will contribute to accurate documentation and ongoing process improvements in a collaborative, supportive work