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Revenue Cycle Associate
2 months ago
Job Summary:
The Revenue Cycle Associate at Christus Health plays a vital role in ensuring timely and efficient processes within the Revenue Cycle division. This position is responsible for providing support services to resolve outstanding patient accounts, aligning with the core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.
Key Responsibilities:
- Meet CHRISTUS Health competencies and performance metrics.
- Perform Revenue Cycle functions to ensure quality and productivity standards are met.
- Collect and provide patient and payor information for account resolution.
- Maintain knowledge of Government Mandated Regulations for claims submission.
- Respond to account inquiries through effective communication.
- Communicate with internal and external customers for account resolution.
- Comply with all regulations and coding guidelines.
Billing and Claims:
- Review and work on claim edits to ensure accuracy.
- Submit rejected claims to payors in a timely manner.
- Work on reports and billing requests to meet deadlines.
- Demonstrate knowledge of standard billing forms and requirements.
- Understand electronic claims editing and submission processes.
Collections and Denials:
- Collect balances due from payors and resolve denials.
- Identify and resolve account discrepancies.
- Work on collector queues daily to meet productivity standards.
- Demonstrate knowledge of billing requirements and regulations.
- Resolve underpayments and credit balances efficiently.
Vendor Coordination:
- Act as a liaison between external vendors and Revenue Cycle departments.
- Manage account transfers between CHRISTUS Health and vendors.
- Coordinate account reviews prior to transfer.
- Ensure proper billing procedures with vendors.
- Monitor vendor performance and provide reports to leadership.
Requirements:
- High School Diploma or equivalent.
- Post-High School education preferred.
- 1-3 years of experience preferred.
- Experience in a hospital business office environment is a plus.
- Understanding of billing forms and Medicare processes.
Work Type:
Full Time
