Senior Patient Account Specialist

2 weeks ago


Irving, Texas, United States Christus Health Full time

Overview:

The Senior Patient Account Specialist plays a crucial role in supporting the Revenue Cycle department at CHRISTUS Health. This position is dedicated to ensuring timely and efficient processing of patient accounts, focusing on resolving outstanding balances and reconciling accounts. The specialist collaborates within a team environment to deliver exceptional service to both internal and external stakeholders.

This role demands adherence to the highest ethical standards, acting in alignment with the mission and core values of CHRISTUS Health, which include Dignity, Integrity, Compassion, Excellence, and Stewardship.

Key Responsibilities:

  • Exhibit proficiency in the OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Execute Revenue Cycle tasks that meet or surpass key performance indicators set by CHRISTUS Health.
  • Ensure that departmental quality and productivity benchmarks are consistently achieved.
  • Gather and supply patient and payer information to aid in account resolution.
  • Address various account inquiries through written, verbal, or electronic communication.
  • Maintain comprehensive knowledge of insurance and self-pay billing guidelines, as well as third-party payer regulations.
  • Communicate effectively with internal and external customers to resolve account-related questions.
  • Strive to meet or exceed customer expectations, fostering trust and respect.
  • Adhere to all regulations set forth by CHRISTUS Health, payers, and governmental bodies.
  • Demonstrate a solid understanding of CPT, HCPCS, and ICD-10 coding regulations.
  • Accurately document activities in the patient accounting system in accordance with established policies.
  • Provide ongoing updates to the PFS Leadership Team regarding any errors, issues, or trends that may impact productivity and reimbursement.
  • Exhibit strong written and verbal communication skills.

Billing Duties:

  • Review and manage claim edits effectively.
  • Address and resubmit claims rejected by payers.
  • Process reports and billing requests diligently.
  • Demonstrate a thorough understanding of standard billing forms and submission requirements.
  • Utilize electronic claims editing and submission tools proficiently.

Collections Responsibilities:

  • Collect outstanding balances from payers to ensure proper reimbursement.
  • Identify and relay denial information to the appropriate departmental liaison, focusing on timely resolution.
  • Maintain current knowledge of collection requirements for various payers.
  • Utilize collection systems and reports to manage the collector queue daily.
  • Resolve underpayments and credit balances in accordance with payer guidelines.
  • Identify and communicate trends that may affect account resolution.

Cash Reconciliation Tasks:

  • Ensure accurate and timely posting of all payments through reconciliation of the patient accounting system and bank statements.
  • Research cash payments by verifying patient account numbers and facility details.
  • Monitor cash reconciliation processes to identify and rectify posting errors.
  • Review and post cash corrections, addressing any patient inquiries as needed.
  • Investigate unapplied cash and follow up until payment identification is achieved.

Qualifications:

  • High School Diploma or equivalent experience required.
  • Post-secondary education is preferred.
  • 3-5 years of relevant experience is preferred.
  • Experience in a multi-facility hospital business office environment is advantageous.
  • Consideration may be given to candidates with insurance claims experience or healthcare billing education.
  • Familiarity with inpatient and outpatient billing requirements for UB-04 and HCFA 1500 forms is preferred.

Employment Type:

Full Time

Equal Employment Opportunity:

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