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Patient Financial Specialist

2 months ago


Irving, Texas, United States Christus Health Full time
About the Role

As a Patient Financial Specialist at CHRISTUS Health, you will play a critical role in ensuring the efficient and effective management of patient accounts. Your primary responsibility will be to resolve outstanding balances and reconcile accounts in a timely manner, working closely with internal and external customers to provide exceptional service.

Key Responsibilities
  • Revenue Cycle Functions: Perform revenue cycle functions in accordance with CHRISTUS Health's key performance metrics, ensuring that all processes are performed in a timely and efficient manner.
  • Account Resolution: Collect and provide patient and payor information to facilitate account resolution, ensuring that all necessary documentation is accurate and up-to-date.
  • Government Mandated Regulations: Maintain an active working knowledge of all government mandated regulations as it pertains to claims submission, performing necessary research to determine proper governmental requirements prior to claims submission.
  • Communication: Respond to all types of account inquiries through written, verbal, or electronic correspondence, maintaining professional and effective written and verbal communication with both internal and external customers.
  • Payor-Specific Knowledge: Maintain payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers, ensuring that all functions within the Revenue Cycle are working in accordance with established procedures.
  • Vendor Coordination: Act as liaison between external vendors and Revenue Cycle departments, monitoring external vendor activities and ensuring that accounts placed for collection are received timely and acknowledged as received by the vendor.
Requirements
  • Education: High School Diploma or equivalent years of experience required, with post-HS education preferred.
  • Experience: 1-3 years of experience preferred, with experience working within a multi-facility hospital business office environment preferred.
  • Skills: Strong knowledge of standard bill forms and filing requirements, electronic claims editing and submission capabilities, and Medicare and Medicaid billing processes and regulations.