Patient Financial Representative Senior
Company: Christus Health
Location: Irving
Posted on: October 2, 2024
Job Description:
Description
Summary: The associate is responsible for the duties and services
that are of a support nature to the Revenue Cycle division of
CHRISTUS Health. The associate ensures that all processes are
performed in a timely and efficient manner. The primary purpose of
this position is to ensure account resolution and reconciliation of
outstanding balances for CHRISTUS Health patient accounts. The
position works in a cooperative team environment to provide value
to internal and external customers. The associate carries out
his/her duties by adhering to the highest standards of ethical and
moral conduct, acts in the best interest of CHRISTUS Health and
fully supports CHRISTUS Health's Mission, Philosophy and core
values of Dignity, Integrity, Compassion, Excellence and
Stewardship.
- Performs Revenue Cycle functions in a manner that meets or
exceeds CHRISTUS Health key performance metrics.
- Ensures PFS departmental quality and productivity standards are
met.
- Collects and provides patient and payor information to
facilitate account resolution.
- Responds to all types of account inquires through written,
verbal or electronic correspondence.
- Maintains payor specific knowledge of insurance and self-pay
billing and follow up guidelines and regulations for third-party
payers. Maintains working knowledge of all functions within Revenue
Cycle.
- Responsible for professional and effective written and verbal
communication with both internal and external customers in order to
resolve outstanding questions for account resolution.
- Meets or exceeds customer expectations and requirements, and
gains customer trust and respect.
- Compliant with all CHRISTUS Health, payer and government
regulations.
- Exhibits a strong working knowledge of CPT, HCPCS and ICD-10
coding regulations and guidelines.
- Appropriately documents patient accounting host system or other
systems utilized by PFS in accordance with policy and procedures.
Provides continuous updates and information to PFS Leadership Team
regarding errors, issues, and trends related to activities
affecting productivity, reimbursement, payment delays, and/or
patient experience. Role Specific Responsibilities Billing
- Review and work claim edits.
- Works payor rejected claims for resubmission.
- Works reports and billing requests.
- Demonstrates strong knowledge of standard bill forms and filing
requirements.
- Exhibits and understanding of electronic claims editing and
submission capabilities. Collections
- Collect balances due from payors ensuring proper reimbursement
for all services.
- Identifies and forwards proper account denial information to
the designated departmental liaison. Dedicates efforts to ensure a
proper denial resolution and timely turnaround.
- Maintain an active knowledge of all collection requirements by
payors.
- Works collector queue daily utilizing appropriate collection
system and reports.
- Demonstrates knowledge of standard bill forms and filing
requirements.
- Identify and resolve underpayments with the appropriate follow
up activities within payor timely guidelines.
- Identify and resolve credit balances with the appropriate
follow up activities within payor timely guidelines.
- Identify and communicate trends impacting account resolution.
Requirements:
- Prefer minimum of 2 years' experience with insurance billing,
collections, payment, and reimbursement verification and/or
refunds
- Professional and effective written and verbal communication
required.
- Experience working within a multi-facility hospital business
office environment preferred.
- College education, previous Insurance Company claims experience
and/or health care billing trade school education may be considered
in lieu of formal hospital experience.
- Experience working with inpatient and outpatient billing
requirements of UB-04 and HCFA 1500 billing forms preferred. Work
Type: Work Type: Full Time EEO is the law - click below for more
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Keywords: Christus Health, Mansfield , Patient Financial Representative Senior, Accounting, Auditing , Irving, Texas
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