Patient Financial Specialist - Medicaid Biller
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
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
Maintains an active working knowledge of all Government Mandated
Regulations as it pertains to claims submission. Responsible to
perform the necessary research in order to determine proper
governmental requirements prior to claims submission.
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 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
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, payment delays, and/or
Role Specific Responsibilities
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
Correct claims in RTP status in designated claim system per
Maintains an active knowledge of all governmental agency
requirements and updates.
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.
Experience with Medicare & Medicaid billing processes and
Understanding of Medicare language.
Knowledge in locating and referencing CMS and/or Medicare
Keywords: CHRISTUS Health, Irving , Patient Financial Specialist - Medicaid Biller, Accounting, Auditing , Irving, Texas
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