Onsite in the Washington, DC or Arlington, VA area or San Antonio, TX
Full Time

Ability to obtain & maintain a Public Trust*

• US Citizenship and the ability to obtain and maintain the clearance level stated above are required for this specific opportunity. Tria Federal (Tria) is unable to sponsor at this time.

WHO WE ARE:

Tria Federal (Tria) is the premier middle-market IT and Advisory services provider delivering digital transformation solutions to Civilian, Defense, and Intelligence agencies across the federal sector. With a future-forward vision and a mission rooted in service, we bridge capability gaps to help government agencies work faster, grow smarter, and stay nimble in the face of change. Wherever our customers are in their modernization journey, we are the trusted navigator in the path to possible.
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THE “NEED-TO-HAVE” SKILLS & QUALIFICATIONS:

• 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

EDUCATION:

Bachelor’s degree required, Finance, Business Administration, Healthcare Administration or related field preferred.

YEARS OF PROFESSIONAL EXPERIENCE:

5-7 or more years of consulting or healthcare experience required, preferably in a federal consulting environment.

THE “NICE-TO-HAVE” SKILLS & 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.

ABOUT THIS ROLE:

Tria Federal (Tria) is seeking a highly motivated and skilled Patient Financial Analyst II to join our team. The Patient Financial Analyst will be responsible for processing and reviewing patient inquiries for completion, coordination to other DHA departments for evaluation, and patient communication of all resolutions. Additionally, the Analyst will update the patient billing system based on the outcome of each case. The Analyst will be responsible for maintaining comprehensive and accurate case file documentation. The Analyst will support with accurately tracking and documenting all key performance indicators and metrics related to inquiry processing.

RESPONSIBILITIES:

• Inquiry Management: Receive and log patient inquiries; screen and prioritize to ensure timely responses.
• Verification: Very 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 processional 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.