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Patient Financial Representative

3 months ago


Tyler, Texas, United States Christus Health Full time

Summary:

The associate is responsible for the duties and servicesthat are of a support nature to the Revenue Cycle division ofCHRISTUS Health. The associate ensures that all processes areperformed in a timely and efficient manner. The primary purpose ofthis position is to perform tasks that support account resolutionand reconciliation of outstanding balances for CHRISTUS Healthpatient accounts. The position works in a cooperative teamenvironment to provide value to internal and externalcustomers.

The associate carries outhis/her duties by adhering to the highest standards of ethical andmoral conduct, acts in the best interest of CHRISTUS Health, andfully supports CHRISTUS Health's Mission, Philosophy, and corevalues of Dignity, Integrity, Compassion, Excellence andStewardship.

Responsibilities:

  • Meets expectations of the applicableOneCHRISTUS Competencies: Leader of Self, Leader of Others, orLeader of Leaders.
  • Performs Revenue Cyclefunctions in a manner that meets or exceeds CHRISTUS Health keyperformance metrics.
  • Ensures PFS departmentalquality and productivity standards are met.
  • Responsible for professional and effectivewritten and verbal communication with both internal and externalcustomers in order to resolve outstanding questions for accountresolution.
  • Manages and maintains patient andpayor information to facilitate account resolution.
  • Responds to all types of account inquiriesthrough written, verbal or electroniccorrespondence.
  • Develops and maintains workingknowledge of all functions within the Revenue Cycle.
  • Meets or exceeds customer expectations andrequirements, and gains customer trust andrespect.
  • Compliant with all CHRISTUS Health,payer, and government regulations.
  • Appropriately documents patient accountinghost system or other systems utilized by PFS in accordance withpolicy and procedures.
  • Provide continuousupdates and information to the PFS Leadership Team regardingerrors, issues, and trends related to activities affectingproductivity, reimbursement, payment delays, and/or patientexperience.
  • Has professional and effectivewritten and verbal communication.

Assembly

  • Completes requestsfor supporting documentation related to account resolution, auditsand other requests and ensures delivery to appropriateparty.
  • Perform support services fordepartmental Associates such as faxing of documents, copying,printing of forms, data entry and receptionrelief.
  • Performs mail retrieval, sorting,distribution and inter-facility delivery duties for all BusinessOffice Associates.
  • Performs scanning andelectronic upload of documents.

CashPosting

  • Ensures all payments areretrieved and posted accurately and timely, post lockbox monies,EFT/ACH monies, credit card payments, and patient paymentsincluding JV entries for nonpatient cash.
  • Resolves submitted work queues for missing and/or unapplied cash.
  • Monitor and perform cash reconciliation toidentify cash posting errors and ensure all receipts are applied.

Customer Service

  • Answers inbound calls to the department in atimely manner, consistent with department and/or industrystandards.
  • Collects and provides patient andpayor information to facilitate accountresolution.
  • Responds to patient and insurancecompany complaints, correspondence, inquiries, and requests forinformation.
  • Collects balance owing fromthird-party payers in accordance with state and federal lawsgoverning collection practices. Ensures that collection efforts arethorough with the overall objective being to collect theoutstanding balance in an ethical manner.
  • Complete Attorney requests for billing records andsubpoenas.

Requirements:

  • HS Diploma or equivalent years of experiencerequired.
  • Post HS educationpreferred.
  • 1-3 years of experiencepreferred.
  • General hospital A/R accountsknowledge is preferred.
  • College education,previous Insurance Company claims experience and/or health carebilling trade school education may be considered in lieu of formalhospital experience.

Work Type:

Full Time

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