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Patient Financial Specialist

2 months ago

San Antonio, Texas, United States Christus Health Full time
Job Summary

The Patient Financial Specialist is a key member of the Revenue Cycle team at Christus Health, responsible for ensuring timely and efficient resolution of patient accounts. This role requires strong analytical and communication skills, with a focus on delivering exceptional customer service and meeting or exceeding key performance metrics.

Responsibilities
  • Perform revenue cycle functions in accordance with Christus Health's quality and productivity standards.
  • Collect and provide patient and payor information to facilitate account resolution.
  • Respond to account inquiries through written, verbal, or electronic correspondence.
  • Maintain payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations.
  • Exhibit a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
  • Document patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
  • Provide continuous updates and information to PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
Requirements
  • High School Diploma or equivalent years of experience required.
  • Post-HS education preferred.
  • 1-3 years of experience preferred.
  • Experience working within a multi-facility hospital business office environment preferred.
  • College education, previous insurance company claims experience, and/or healthcare billing trade school education may be considered in lieu of formal hospital experience.
  • Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
  • Experience with Medicare & Medicaid billing processes and regulations preferred.
  • Understanding of Medicare language.
  • Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.
Work Type

Full Time