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Patient Financial Services Representative
2 months ago
The Patient Financial Services Representative is responsible for supporting the Revenue Cycle division of Christus Health. This role ensures that all processes are performed in a timely and efficient manner, with a primary focus on account resolution and reconciliation of outstanding balances for Christus Health patient accounts.
Key Responsibilities- Meet expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Perform Revenue Cycle functions in a manner that meets or exceeds Christus Health key performance metrics.
- Ensure PFS departmental quality and productivity standards are met.
- Responsible for professional and effective written and verbal communication with both internal and external customers to resolve outstanding questions for account resolution.
- Manage and maintain patient and payor information to facilitate account resolution.
- Respond to all types of account inquiries through written, verbal, or electronic correspondence.
- Develop and maintain working knowledge of all functions within the Revenue Cycle.
- Meet or exceed customer expectations and requirements, and gain customer trust and respect.
- Compliant with all Christus Health, payer, and government regulations.
- Appropriately document patient accounting host system or other systems utilized by PFS 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.
- Have professional and effective written and verbal communication.
- Complete requests for supporting documentation related to account resolution, audits, and other requests and ensure delivery to the appropriate party.
- Perform support services for departmental Associates such as faxing of documents, copying, printing of forms, data entry, and reception relief.
- Perform mail retrieval, sorting, distribution, and inter-facility delivery duties for all Business Office Associates.
- Perform scanning and electronic upload of documents.
- Ensure all payments are retrieved and posted accurately and timely, post lockbox monies, EFT/ACH monies, credit card payments, and patient payments including JV entries for non-patient cash.
- Resolve submitted work queues for missing and/or unapplied cash.
- Monitor and perform cash reconciliation to identify cash posting errors and ensure all receipts are applied.
- Answer inbound calls to the department in a timely manner, consistent with department and/or industry standards.
- Collect and provide patient and payor information to facilitate account resolution.
- Respond to patient and insurance company complaints, correspondence, inquiries, and requests for information.
- Collect balance owing from third-party payers in accordance with state and federal laws governing collection practices. Ensure that collection efforts are thorough with the overall objective being to collect the outstanding balance in an ethical manner.
- Complete Attorney requests for billing records and subpoenas.
- HS Diploma or equivalent years of experience required.
- Post HS education preferred.
- 1-3 years of experience preferred.
- General hospital A/R account knowledge is preferred.
- College education, previous Insurance Company claims experience, and/or healthcare billing trade school education may be considered in lieu of formal hospital experience.
