Patient Financial Representative Senior - Financial Services
Company: Christus Health
Location: Tyler
Posted on: October 8, 2024
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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.
Responsibilities:
--- Meets expectations of the applicable OneCHRISTUS Competencies:
Leader of Self, Leader of Others, or Leader of Leaders. ---
Performs Revenue Cycle functions in a manner that meets or exceeds
CHRISTUS Health's 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 inquiries
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 the
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. --- Provide continuous
updates and information to the PFS Leadership Team regarding
errors, issues, and trends related to activities affecting
productivity, reimbursement, payment delays, and/or patient
experience. --- Must have professional and effective written and
verbal communication. Billing--- Review and work on 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.
Dedicated 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. Cash Reconciliation--- Ensures all
payments are retrieved and posted accurately and timely through
reconciliation of patient accounting system and bank statement. ---
Researches submitted cash payments by verifying patient account
numbers and appropriate facilities. --- Monitor and performs cash
reconciliation to identify cash posting errors and ensures all
receipts are applied and reconciles to daily bank deposit and
monthly bank statements. --- Review and post cash corrections,
including resolving patient complaints and inquiries from PFS,
Finance, Facilities, and Vendor Partners. --- Resolve and Research
unapplied cash, including continuous follow-up until payment
identification is made for application of payment or refund.
Job Requirements:
Work Schedule:
Work Type:
Full Time
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Keywords: Christus Health, Irving , Patient Financial Representative Senior - Financial Services, Accounting, Auditing , Tyler, Texas
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