Payer Services Assistant (Hunt Valley, MD)

Job Description

Job Description

At Trend Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows.

Joining Trend Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more.

 

The Payer Services Assistant’s primary responsibility is to process claim updates in Trend systems and assist with managing health information related to medical records and audit findings.

ROLE AND RESPONSIBILITIES

• Process claim updates in Trend systems (e.g., TRENDConnect) under the direction of the Coding Manager
• Clearly and concisely document actions taken to resolve assistance requests
• Support auditors with tasks under the direction of the Coding Manager
• Collaborate with the Health Information Management (HIM) Coordinator to process letters for medical record requests, audit findings, recovery and appeals
• Contact providers/facilities to obtain records
• Scan paper records for electronic processing
• Maintain patient confidentiality
• Secure health information from unauthorized access
• Ensure compliance with all healthcare privacy and security laws, including HIPAA
• May require client or vendor communication to identify and support processes
• Collaborate with leadership, team members, vendors and clients to continually improve on processes

QUALIFICATIONS

• High School Diploma, or equivalent
• Knowledge of administrative and office procedures and systems such as managing files and records, typing, printing and scanning, and mailing
• Proficiency with Electronic Health Record (EHR) systems
• Microsoft Office experience, specifically Excel
• Well-developed verbal and written communication skills coupled with recognizable organization
• Skilled in managing one's own time
• Skilled in adjusting actions in relation to others' actions
• Skilled in actively looking for ways to help people
• Ability to shift back and forth between two or more activities
• Ability to listen to and understand information and ideas presented verbally
• Ability to read and understand information and ideas presented in writing

PREFERRED SKILLS

• Health information document management experience
• Experience with medical record handling
• Client communication experience
• Vendor communication experience 

MENTAL AND PHYSICAL DEMANDS

• This is an on-site position.
• This position will be exposed mainly to an indoor office environment and will be expected to work in or around computers and printers.
• The nature of the work may require lifting/moving paper records of 25 to 50lbs.
• Essential physical functions of the job include typing and repetitive motion to utilize computer software and hardware continuously throughout the day.
• Essential mental functions of this position include concentrating on analytical tasks, reading information, and verbal/written communication to others continuously throughout the day.

RELATED DUTIES AS ASSIGNED

• This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position. Consequently, employees may be asked to perform other duties as required.
• Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information. Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.
• Reasonable accommodation may be made to enable individuals with disabilities to perform the functions outlined above. 

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.