Senior Billing & Reimbursement Lead

Trinity Health; Minot (ND); Sur place; USD 65 000 - 90 000; Plein temps

Résumé du poste

Trinity Health is seeking a Lead, Account Representative to manage complex medical claims and ensure compliance with payer regulations. You will resolve escalated account issues and support improvements in the revenue cycle across clinical and administrative teams.

The role emphasizes accuracy, accountability, and continuous improvement in a collaborative environment and requires strong knowledge of reimbursement requirements for complex claims.

Qualifications

• Advanced billing and reimbursement experience.
• Strong understanding of payer regulations and denials.
• Ability to investigate and resolve high-difficulty accounts.

Responsabilités

• Process, audit, and submit complex or high-value medical claims per payer rules.
• Follow up on outstanding or denied claims and coordinate corrections for timely reimbursement.
• Serve as a subject matter resource for billing policies and payer rule changes.
• Collaborate with clinical, coding, and registration teams to resolve discrepancies in claims and payments.
• Assist leadership with training and process improvements within the department.

Connaissances

Billing expertise

Reimbursement knowledge

Payer rules

Complex claim investigation

Description du poste

Trinity Health is seeking a Lead, Account Representative to manage complex medical claims and ensure compliance with payer regulations. You will resolve escalated account issues and support improvements in the revenue cycle across clinical and administrative teams.

The role emphasizes accuracy, accountability, and continuous improvement in a collaborative environment and requires strong knowledge of reimbursement requirements for complex claims.