Patient Financial Representative Senior - Assembly
Company: CHRISTUS Health
Posted on: May 13, 2022
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 these positions
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
Collects and provides patient and payor information to facilitate
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
Responsible for professional and effective written and verbal
communication with both internal and external customers in order to
resolve outstanding for account resolution.
Meets or exceeds customer expectations and requirements, and gains
customer trust and respect.
Compliant with all CHRISTUS Health, payer and government
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
Provides continuous updates and information to PFS Leadership Team
regarding errors, issues, and trends related to activities
affecting productivity, reimbursement and/or payment delays
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
Exhibits and understanding of electronic claims editing and
Collect balances due from payors ensuring proper reimbursement for
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
Works collector queue daily utilizing appropriate collection system
Demonstrates knowledge of standard bill forms and filing
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.
Ensures all payments are retrieved and posted accurately and timely
through reconciliation of patient accounting system and bank
Researches submitted cash payments by verifying patient account
numbers and appropriate facility.
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, to include resolving patient
complaints and inquiries from PFS, Finance, Facilities, and Vendor
Resolve and Research unapplied cash, to include continuous
follow-up until payment identification is made for application of
payment or refund.
HS Diploma or equivalency required
Post HS education preferred
Prefer minimum of 2 years' experience with insurance billing,
collections, payment and reimbursement verification and/or
Professional and effective written and verbal communication
Experience working within a multi-facility hospital business office
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.
Keywords: CHRISTUS Health, Irving , Patient Financial Representative Senior - Assembly, Accounting, Auditing , Irving, Texas
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