Patient Financial Specialist

4 days ago


Irving, Texas, United States Christus Health Full time
Job Summary

The Patient Financial Specialist plays a critical role in the Revenue Cycle division of CHRISTUS Health, ensuring that all processes are performed in a timely and efficient manner. This position is responsible for 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's key performance metrics.
  • Ensure PFS departmental quality and productivity standards are met.
  • Collect and provide patient and payor information to facilitate account resolution.
  • Maintain an active working knowledge of all Government Mandated Regulations as it pertains to claims submission.
  • Respond to all types of account inquires 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.
Requirements
  • HS 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 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.
  • Experience with Medicare & Medicaid billing processes and regulations preferred.
  • Understanding of Medicare language.
  • Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.


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