Senior Patient Account Specialist
7 days ago
Job Summary:
The Senior Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services. This role requires a high level of expertise in billing, A/R follow-up, and credit balance resolution activities to ensure claim payment.
Key Responsibilities:
- Perform billing, A/R follow-up, and credit balance resolution activities to ensure accurate and timely claim payment.
- Provide excellent customer service to market personnel, insurance carrier representatives, and patients.
- Document all follow-up efforts in the practice management system.
- Assist with patient education concerning insurance plans.
- Follow CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
- Maintain established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental, and infection control.
- Implement job responsibilities in a manner consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health's cultural diversity objectives.
- Support and adhere to CHRISTUS Health Service Guarantee.
- Operate telephone, computer, copier, fax machine, and 10-key calculator by touch.
- Minimum three years of physician billing experience.
- Extensive knowledge of CPT, HCPCS, and ICD-9 coding principles in a multi-specialty physician practice.
- Thorough understanding of government and commercial payer guidelines as well as reimbursement methodologies.
- Ability to successfully perform all aspects of the physician billing cycle, including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal, and refund processing.
- Advanced understanding of medical terminology.
Requirements:
- Full-time position.
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