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Patient Financial Representative Sr -Commercial Collector (Hiring Incentive Available)
CHRISTUS Health San Antonio, TX
$37k-47k (estimate)
Full Time | Ambulatory Healthcare Services 10 Months Ago
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CHRISTUS Health is Hiring a Patient Financial Representative Sr -Commercial Collector (Hiring Incentive Available) Near San Antonio, TX

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

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:

Full Time

About the Company:

CHRISTUS Health

In 1999, two historic Catholic charities became one, forming CHRISTUS Health and creating a unique purpose in the modern health care market - to take better care of people.

To extend the healing ministry of Jesus Christ, the mission that the Sisters of Charity Health Care system and Incarnate Word Health system shared for more than a century, is now also the mission of CHRISTUS Health.

Ranked among the top 10 Catholic health systems in the United States by size, the CHRISTUS Health system includes more than 40 hospitals and facilities in seven U.S. states, Chile and six states in Mexico, with assets of more than $4.6 billion.

Whether seeking care in Alexandria Louisiana, or Coahuila, Mexico, patients discover that the healing spirit is alive at CHRISTUS Health.

Company Size:

10,000 employees or more

Industry:

Healthcare Services

Founded:

1999

Website:

http://www.christushealth.org/

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$37k-47k (estimate)

POST DATE

05/29/2023

EXPIRATION DATE

06/18/2023

WEBSITE

christushealth.org

HEADQUARTERS

SAN ANTONIO, TX

SIZE

15,000 - 50,000

FOUNDED

1865

CEO

SANTA ROSA

REVENUE

$200M - $500M

INDUSTRY

Ambulatory Healthcare Services

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