Patient Financial Specialist

17 hours ago


Irving, Texas, United States CHRISTUS Health Full time
Job Summary:

The Patient Financial Specialist is responsible for ensuring timely and efficient account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. In this role, you will work in a cooperative team environment to provide value to internal and external customers by collecting and providing patient and payor information to facilitate account resolution.

Key Responsibilities:
  1. Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  2. Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
  3. Ensures PFS departmental quality and productivity standards are met.
  4. Collects and provides patient and payor information to facilitate account resolution.
  5. Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission.
  6. Responds to all types of account inquires through written, verbal, or electronic correspondence.
  7. Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers.
  8. Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
  9. Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
  10. Compliant with all CHRISTUS Health, payer, and government regulations.
  11. Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.

Professional Requirements:
  1. HS Diploma or equivalent years of experience required.
  2. Post HS education preferred.
  3. 1-3 years of experience preferred.
  4. Experience working within a multi-facility hospital business office environment preferred.
  5. College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience.
  6. Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
  7. Experience with Medicare & Medicaid billing processes and regulations preferred.
  8. Understanding of Medicare language.
  9. Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.


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