Patient Financial Specialist

4 weeks ago

Tyler, United States CHRISTUS Trinity Mother Frances Business Office Full time

Job Description

Summary:

The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of these positions is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The position works in a cooperative team environment to provide value to internal and external customers.

The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health and fully supports CHRISTUS Health's Mission, Philosophy and core values of Dignity, Integrity, Compassion, Excellence and Stewardship.

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health key performance metrics. Ensures PFS departmental quality and productivity standards are met. Collects and provides patient and payor information to facilitate account resolution. Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission. Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission. Responds to all types of account inquires through written, verbal, or electronic correspondence. Maintains payor specific knowledge of insurance and self-pay billing and follow up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within Revenue Cycle. Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution. Meets or exceeds customer expectations and requirements, and gains customer trust and respect. Compliant with all CHRISTUS Health, payer and government regulations. Exhibits a strong working knowledge of CPT, HCPCS and ICD-10 coding regulations and guidelines. Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures. Provides 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. Professional and effective written and verbal communication required.

Billing

Review and work claim edits. Works payor rejected claims for resubmission. Works reports and billing requests. Demonstrates strong knowledge of standard bill forms and filing requirements. Exhibits and understanding of electronic claims editing and submission capabilities. Correct claims in RTP status in designated claim system per Medicare guidelines. Maintains an active knowledge of all governmental agency requirements and updates.

Collections

Collect balances due from payors ensuring proper reimbursement for all services. Identifies and forwards proper account denial information to the designated departmental liaison. Dedicates efforts to ensure a proper denial resolution and timely turnaround. Maintain an active knowledge of all governmental agency requirements and updates. Works collector queue daily utilizing appropriate collection system and reports. Demonstrates knowledge of standard bill forms and filing requirements. Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines. Identify and resolve credit balances with the appropriate follow up activities within payor timely guidelines. Identify and communicate trends impacting account resolution. Corrects claims in RTP status in designated claim system per Medicare guidelines. Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed. Working knowledge of the CMS 838 credit balance report.

Vendor Coordinator

Acts as liaison between external vendors and Revenue Cycle departments to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor. Manages account transfers between CHRISTUS Health and the various contracted vendors. Coordinates with Revenue Cycle Managers (Collections, Billing, Cash Applications, etc.) to review of selected accounts prior to transfer and placement with an external third party. Ensures accounts deemed as closed or uncollectible by the vendors are properly reflected in applicable AR systems. Maintains department reports measuring agency performance, which includes account placements, collections, returns and performance metrics. Advises vendors of CHRISTUS Health billing and collection procedures and ensures accounts identified with third party coverage are properly billed by the entities as requested by the vendor. Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems. Recalls accounts incorrectly placed and/or as requested by Revenue Cycle Managers with the external vendor and returns accounts to open receivables as appropriate. Creates tools, reports or documentation that enables Revenue Cycle Leadership to understand, manage and measure their vendor's performance and to prioritize important relationships. Performs account reconciliation between CHRISTUS Health system and vendor system.

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 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

  • Patient Financial Specialist Lead

    4 weeks ago

    Tyler, United States Christus Health Full time

    DescriptionSummary:The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to ensure account resolution and reconciliation of outstanding balances for...

  • Patient Financial Specialist Lead

    2 weeks ago

    Tyler, United States Christus Health Full time

    DescriptionSummary:The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to ensure account resolution and reconciliation of outstanding balances for...

  • Patient Access Specialist

    4 hours ago

    Tyler, United States Ensemble Health Partners Full time

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the...

  • Patient Account Specialist Senior

    2 weeks ago

    Tyler, Texas, United States Christus Health Full time

    DescriptionSummary:The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services. Responsibilities:Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment. Identifies trends and their root cause to improve the effectiveness and...

  • Patient Account Specialist Senior

    2 weeks ago

    Tyler, Texas, United States Christus Health Full time

    DescriptionSummary:The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services. Responsibilities:Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment. Identifies trends and their root cause to improve the effectiveness and...

  • Patient Financial Specialist

    4 days ago

    Tyler, United States Christus Health Full time

    DescriptionSummary:The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of these positions is to ensure account resolution and reconciliation of outstanding balances...

  • Patient Financial Representative

    1 week ago

    Tyler, United States Christus Health Full time

    DescriptionSummary:The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to perform tasks that support account resolution and reconciliation of...

  • Patient Financial Representative Senior-Patient Financial Services-Full...

    2 months ago

    Tyler, United States CHRISTUS Trinity Mother Frances Business Office Full time

    Job Description Summary: This position is a backup for business office functions, providing work coverage for the various operational work units in the RCBS organization. This includes billing, collections, reimbursement validation, cash posting, mail handling, scanning, sorting, assembly, copying, faxing, and data entry functions. In addition,...

  • Project Controls Specialist

    4 weeks ago

    Tyler, United States TechServ Engineering & Consulting Full time

    About Us: TechServ Consulting and Training specializes in providing top-tier engineering services for the electrical utility and telecom industries. We are currently seeking a Project Control Specialist with a focus on invoicing and P&L reconciliation to join our dynamic team. Job Description: In this role, you will be a key player in managing the financial...

  • Patient Service Representative

    4 hours ago

    Tyler, United States US Radiology Specialists Full time

    Touchstone Medical Imaging is seeking an experienced, patient care-oriented professional on a full-time basis as a Patient Service Representative to help support our location in Tyler, TX . Work Schedule: Monday - Friday (12pm - 9pm) Benefits: We offer a PREMIUM base pay, shift differential, MONTHLY bonus opportunities, and an excellent benefits program ....

  • Public Benefits Specialist

    3 weeks ago

    Tyler, United States Ensemble Health Partners Full time

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the...

  • Public Benefits Specialist

    2 weeks ago

    Tyler, United States Ensemble Health Partners Full time

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the...

  • Patient Access Representative

    3 weeks ago

    Tyler, United States Christus Health Full time

    **Summary**: Patient Access Representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. Patient Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access has...

  • Revenue Cycle Patient Services Specialist

    3 weeks ago

    Tyler, United States U.S. Dermatology Partners Full time

    Job DetailsJob Location(C)Corporate-Rev Cycle CBO Tyler - Tyler, TXPosition TypePart TimeDescriptionSECTION 1: Job Summary (Summary of the basic functions of the position)Responsible for service calls from patients regarding outstanding statement balances and serves as aliaison between practices, clinics, the central business office and payors. Initiates...

  • Revenue Cycle Patient Services Specialist

    1 month ago

    Tyler, United States U.S. Dermatology Partners Full time

    Job DetailsJob Location (C)Corporate-Rev Cycle CBO Tyler - Tyler, TX Position Type Part Time DescriptionSECTION 1: Job Summary (Summary of the basic functions of the position) Responsible for service calls from patients regarding outstanding statement balances and serves as a liaison between practices, clinics, the central business office and payors....

  • Clinical Documentation Specialist

    3 weeks ago

    Tyler, United States Impresiv Health Full time

    Title: Clinical Documentation Specialist Description: The PRN Clinical Documentation Specialist (CDS) position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The PRN CDS will provide support and expertise on a temporary basis through comprehensive assessment and review of...

  • Clinical Documentation Specialist

    2 weeks ago

    Tyler, United States Impresiv Health Full time

    Title: Clinical Documentation Specialist Description: The PRN Clinical Documentation Specialist (CDS) position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The PRN CDS will provide support and expertise on a temporary basis through comprehensive assessment and review of...

  • Admissions Specialist

    2 weeks ago

    Tyler, United States Tyler Junior College Full time

    Tyler Junior College gives equal consideration to all applicants for admission, employment and participation in its programs and activities without regard to race, color, religion, national origin, gender, gender identity, gender expression, sexual orientation, age, marital status, disability, veteran status or limited English proficiency (LEP). ...

  • Admissions Specialist

    7 days ago

    Tyler, United States Tyler Junior College Full time

    Tyler Junior College gives equal consideration to all applicants for admission, employment and participation in its programs and activities without regard to race, color, religion, national origin, gender, gender identity, gender expression, sexual orientation, age, marital status, disability, veteran status or limited English proficiency (LEP). ...

  • Drug Testing Specialist

    3 weeks ago

    Tyler, United States Drug & Alcohol Testing Compliance Services Full time

    Job DescriptionJob DescriptionExciting opportunity for recent graduates of Criminal Justice, veterans, or anyone seeking a new career path! As a Full Time Drug Testing Specialist at DATCS, LLC in Tyler, TX you will play a crucial role in ensuring compliance with drug and alcohol testing protocols. You will have the chance to make a positive impact on...