Patient Financial Specialist Lead
2 weeks ago
The Patient Financial Specialist Lead is responsible for ensuring that all processes are performed in a timely and efficient manner within the Revenue Cycle division of CHRISTUS Health. This position ensures account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Patient Financial Specialist Lead works in a cooperative team environment to provide value to internal and external customers.
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 provide a source of knowledge for staff inquiries.
- Demonstrate a strong understanding of payer benefits requirements, on-line 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 willingly 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.
- Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution while maintaining account integrity and compliance with payer and/or government regulations.
- Ensure quality and productivity standards are met or exceeded.
- Appropriately document patient accounting host system or others 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.
- Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
- Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.
- Demonstrate expertise in role requirements as outlined in the job description for a specific area of responsibility.
- Must have in-depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Document Imaging, Databases, etc. Strong understanding of systems from an end-user and processing perspective.
- Must have good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and/or ability to learn and develop more advanced skills with the various applications.
- Professional and effective written and verbal communication required.
- Must have good understanding of the various areas of government, non-government programs, billing, customer service and cash applications.
- Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred.
- HS Diploma or equivalency required.
- Post HS education preferred.
- 5-7 years of experience preferred.
- Demonstrated success working in a team environment focused on meeting organization goals and objectives required.
- Experience in role requirements as outlined in job description for specific area of responsibility 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.
- Must have 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 preferred.
8AM - 5PM Monday-Friday
Work TypeFull Time
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