Clerical/General Office Job In San Antonio, Texas
Patient Financial Representative Senior - Hospital Collections -Santa Rosa
San Antonio, Texas 78229 Type of Facility: Hospital
Summary:
MAJOR JOB 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
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CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.