Summary:

MAJOR JOB RESPONSIBILITIES

• 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.
• 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.

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 collection requirements by payors.
• 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.

Requirements:

• HS Diploma or equivalency preferred

Work Type:

Full Time

EEO is the law - click below for more information:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.