Patient Financial Services Manager
3 weeks ago
The Patient Financial Specialist Lead is a key member of the Revenue Cycle division at CHRISTUS Health, responsible for ensuring timely and efficient performance of support duties. This role requires a high degree of proficiency in Patient Financial Services, with a focus on account resolution and reconciliation. The successful candidate will work collaboratively with the management team to provide value to internal and external customers, while adhering to the highest standards of ethical and moral conduct.
Key Responsibilities- Meet expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Function as a subject matter expert in support of other PFS team members and other departments/facilities within the CHRISTUS Health network.
- Provide on-the-job training as needed and serve as a source of knowledge for staff inquiries.
- Demonstrate a strong understanding of payer benefits requirements, online claims status, submission, billing, cash application, and reconciliation procedures.
- Approve or deny requested adjustments and refunds within role thresholds.
- Adapt to process and procedure evaluations and improvements, support continuous change, and manage special projects in addition to normal workload and other duties as assigned.
- Remain flexible if duties are reassigned, which may involve transferring to a more appropriate unit in order to best serve PFS and CHRISTUS Health.
- Ensure quality and productivity standards are met or exceeded.
- Document patient accounting host system or other systems utilized by Patient Financial Services 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.
- Function effectively within a team and participate in a cooperative effort to produce results.
A high school diploma or equivalency is required, with post-high school education preferred. Five to seven years of experience is preferred, with demonstrated success working in a team environment focused on meeting organization goals and objectives. Experience in role requirements as outlined in the job description for a specific area of responsibility 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. An understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred.
Experience working within a multi-facility hospital business office environment is preferred.
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