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Patient Financial Representative
2 months ago
The Patient Financial Representative will play a vital role in the Revenue Cycle division of CHRISTUS Health, ensuring timely and efficient performance of support duties. This position is responsible for account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts, working in a cooperative team environment to provide value to internal and external customers.
Key Responsibilities- Meet expectations of applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Perform Revenue Cycle functions that meet or exceed CHRISTUS Health key performance metrics.
- Ensure PFS departmental quality and productivity standards are met.
- Provide professional and effective written and verbal communication with internal and external customers to resolve outstanding questions for account resolution.
- Manage and maintain patient and payor information to facilitate account resolution.
- Respond to account inquiries through written, verbal, or electronic correspondence.
- Develop and maintain working knowledge of all functions within the Revenue Cycle.
- Meet or exceed customer expectations and requirements, and gain customer trust and respect.
- Comply with all CHRISTUS Health, payer, and government regulations.
- Document patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
- Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
- Complete requests for supporting documentation related to account resolution, audits, and other requests, and ensure delivery to the appropriate party.
- Perform support services for departmental Associates, such as faxing documents, copying, printing forms, data entry, and reception relief.
- Perform mail retrieval, sorting, distribution, and inter-facility delivery duties for all Business Office Associates.
- Scan and electronically upload documents.
- Ensure all payments are retrieved and posted accurately and timely, including lockbox monies, EFT/ACH monies, credit card payments, and patient payments, including JV entries for non-patient cash.
- Resolve submitted work queues for missing and/or unapplied cash.
- Monitor and perform cash reconciliation to identify cash posting errors and ensure all receipts are applied.
- Answer inbound calls to the department in a timely manner, consistent with department and/or industry standards.
- Collect and provide patient and payor information to facilitate account resolution.
- Respond to patient and insurance company complaints, correspondence, inquiries, and requests for information.
- Collect balance owing from third-party payers in accordance with state and federal laws governing collection practices, ensuring collection efforts are thorough and ethical.
- Complete Attorney requests for billing records and subpoenas.
- High School Diploma or equivalent years of experience required.
- Post-High School education preferred.
- 1-3 years of experience preferred.
- General hospital A/R accounts knowledge is 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.
