Tria Federal is hiring a
Patient Financial Analyst

Summary

Tria Federal is seeking a Patient Financial Analyst I to manage patient inquiries, coordinate with other departments, utilize tools for evaluation and resolution, communicate findings, and track performance KPIs and metrics. The candidate should have 2-4 years of consulting or healthcare experience, proficiency in Microsoft Office Suite, familiarity with HIPAA requirements, and a Bachelor's degree in Finance, Business Administration, Healthcare Administration, or related field.

Requirements

• Ability to work onsite in the DC/Maryland/Virginia or San Antionio, TX area
• Able to obtain security clearance (Public Trust)
• Proficient in Microsoft Word (creating/updating documents), Microsoft Excel (creating/updating spreadsheets, pivot tables, and formulas), and Microsoft PowerPoint
• Familiarity with HIPPA requirements
• Familiarity with health insurance payer policies and denials management process
• Strong analytical skills and exceptional problem-solving skills
• Ability to independently manage multiple priorities
• Excellent written and verbal communication skills
• Strong personal integrity and the ability to form effective relationships with internal and external stakeholders involved in the inquiry process

Responsibilities

• Inquiry Management: Receive and log patient inquiries; screen and prioritize to ensure timely responses
• Verification: Verify patient documentation to ensure accuracy and completeness
• Coordination: Execute established processes to gather input from other departments for comprehensive responses
• Tool Utilization: Utilize tools and resources such as Tableau Dashboards, Cerner Patient Accounting/Revenue Cycle, and SharePoint for the evaluation and resolution inquiries
• Communication: Draft clear and professional patient communication regarding inquiry resolutions
• Documentation: Manage and securely store all case files, including protected health information (PHI) and personally identifiable information (PII)
• Trend Analysis: Recognize trends in inquiries and assist with implementing preventative measures
• Process Improvement: Identify opportunities for enhancing internal processes communicate these improvements effectively
• Performance Tracking: Accurately track and document program performance KPIs and metrics related to inquiry volume, processing times, and resolution rates
• Reporting: Communicate findings and updates clearly across various formats

Preferred Qualifications

• Experience within the Military Health System (MHS) environment and requisite knowledge of revenue cycle billing and coding policies and regulations
• Experience with the Oracle/Cerner Electronic Health Record (EHR), Patient Accounting Module (CPAM), Health Analytics, ideally in the MHS environment
• Experience working in Patient Billing Department
• 3+ years communication/customer service experience in the healthcare industry
• 2+ year of claim or appeal processing experience in the healthcare industry