Patient Financial Representative Senior -Hospital Collections

Tyler, Texas


Employer: CHRISTUS Health
Industry: Revenue Cycle
Salary: Competitive
Job type: Full-Time

Job Description
Summary:

Major Responsibilities
  • 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.

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:
  • HS Diploma or equivalency preferred

Work Type:

Full Time

Full Time

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Patient Financial Representative Senior -Hospital Collections

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Created: 2024-05-07
Reference: 182950
Country: United States
State: Texas
City: Tyler
ZIP: 75709


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