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Patient Financial Representative Senior
4 weeks ago
The Patient Financial Representative Senior is a key member of the Revenue Cycle team at Christus Health, responsible for ensuring timely and efficient account resolution and reconciliation of outstanding balances for patient accounts. This role works in a cooperative team environment to provide value to internal and external customers, adhering to the highest standards of ethical and moral conduct, and fully supporting Christus Health's Mission, Philosophy, and core values.
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's key performance metrics.
- Ensure PFS departmental quality and productivity standards are met.
- Collect and provide patient and payor information to facilitate account resolution.
- Respond to all types of account inquiries through written, verbal, or electronic correspondence.
- Maintain payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers.
- Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
- Meet or exceed customer expectations and requirements, and gain customer trust and respect.
- Compliant with all Christus Health, payer, and government regulations.
- Exhibit a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
- 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.
- HS Diploma or equivalent years of experience required.
- Post HS education preferred.
- 3-5 years of experience preferred.
- Experience working within a multi-facility hospital business office environment 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.
- Experience working within patient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
