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| Job Category : | Business |
| Company Name: | Christus Health |
| Position Name: | Patient Financial Specialist Senior |
| Location : | 919 Hidden Ridge Drive, Irving, TX 75038 |
| Job 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 must demonstrate a consistently high degree of proficiency in their primary position within Patient Financial Services Department of CHRISTUS Health. The associate is responsible for a variety of activities in the department while applying one’s expertise and knowledge within the unit. The position provides opportunities to increase one’s scope of responsibility within the PFS Department. Working in partnership with the management team, serves as a resource for innovation, staff support and process improvements. Works reports and requests from facility or other revenue cycle areastoidentify and communicate trends impacting account resolution. Works and completes assigned collection insurance collection work queues on a daily basis which will include technical denials and at-risk claims. Reviews accounts to check for qualification for combining according to both government and non-government payer rules and regulations and combines accounts as required to maintain compliance. Identify, address and communicate operational and financial risks Resolve aged and/or problematic accounts Utilize multiple reporting systems 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 governmental agency requirements and updates. Works collector queue daily utilizing appropriate collection system and reports. Demonstrates knowledge of standard bill forms and filing requirements. Identify and resolve underpayments and credit balances with the appropriate follow up activities within payor timely guidelines. Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed. Works reports and requests from facility or other revenue cycle areas. Reviews accounts to check for qualification for combining according to both government and non-government payer rules and regulations and combines accounts as required to maintain compliance. Works unbilled and failed claim reports to resolve claim checks in Patient Accounting host system. Demonstrates strong knowledge of standard bill forms and filing requirements. Exhibits and understanding of electronic claims editing and submission capabilities Identify and communicate trends impacting account resolution Maintains an active working knowledge and ability to perform necessary research of Government and Non-Government Regulations as it pertains to claims submission Requirements: HS Diploma or equivalency required Post HS education preferred Prefer three (3) years of experience and working knowledge of billing and or collections position within PFS. Experience calculating expected reimbursement according to payer regulations and/or contracts. In-depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Document Imaging, Databases, etc. Strong understanding of systems from an end-user and processing perspective. Experience with Commercial, Medicare, and Medicaid reimbursement. Medicare, Medicaid, VA, Tricare billing and collections processes and regulations preferred. Understanding of Medicare and Commercial contract language. Good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and/or ability to learn and develop more advance skills with the various applications. Strong verbal and written communication skills. Ability to effectively and efficiently articulate ideas to team members and management in a timely manner. Good understanding of the various areas of government, non-government programs, billing, customer service and cash applications. General hospital A/R accounts knowledge is required. College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience. Prefer hands on experience with Medicare Remote (FISS) – DDE. Work Type: Full Time Req. No 29740 Job Title Patient Financial Specialist Senior Market CHRISTUS System Office Category Revenue Cycle Travel No Travel Applicable Facility CHRISTUS Corp Irving Offices 919 and 909 Buildings Address 919 Hidden Ridge US Type FULL TIME |
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