Patient Financial Representative Senior - Commerci
Company: Christus Health
Location: San Antonio
Posted on: January 26, 2023
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Job 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 ResponsibilitiesCollectionsCollect
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 refundsProfessional 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:Full TimeReq.
No50940Job TitlePatient Financial Representative Senior -
Commercial Collector (Sign-On Incentive Available)MarketCHRISTUS
Santa RosaCategoryRevenue CycleFacilityCHRISTUS Santa Rosa Patient
Financial Service OfficeAddress4803 NW Loop 410San Antonio, TX
78229USTypeFULL TIME
Keywords: Christus Health, San Antonio , Patient Financial Representative Senior - Commerci, Accounting, Auditing , San Antonio, Texas
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