Patient Financial Representative Jr

CHRISTUS Excellence and Innovation Center; Monterrey; Presencial; MXN 167.000 - 257.000; Jornada completa

Descripción de la vacante

CHRISTUS Excellence and Innovation Center in Monterrey, Mexico seeks a collections-focused professional to resolve patient balances and coordinate with payors. You will work in a cooperative team environment to optimize reimbursement and minimize payment delays.

Required is an advanced level of English and experience with collections, verification, or refunds. Degree in Finance or Accounting or an equivalency is preferred, with knowledge of how insurance processes influencing payments.

Formación

• Degree in Finance, Accounting or equivalency.
• Advanced English required.
• Experience with collections and reimbursements.

Responsabilidades

• Collects and provides patient and payor information to resolve accounts.
• Responds to account inquiries via written, verbal, or electronic means.
• Gathers information to ensure payment of claims and forwards docs to payers.
• Documents activities in the accounting system per policy.
• Provides updates to Leadership on errors, issues, trends affecting reimbursement.

Conocimientos

English communication

Accounts receivable

Payer relations

Collections knowledge

Educación

Finance/Accounting degree

Descripción del empleo

This position is focused to ensure account resolution and reconciliation of outstanding balances for patient accounts. The position works in a cooperative team environment to provide value to internal and external customers. It focus in collections activities directly with private/government insurance companies.

Key Responsibilities

• Collects and provides patient and payor information to facilitate account resolution.
• Responds to all types of account inquires through written, verbal or electronic correspondence.
• Performs medical records requests when necessitated by payers.
• Gathers all information needed to ensure payment of the claim.
• Responsible for requesting and forwarding all required documentation to payers.
• Demonstrates knowledge of standard bill forms and filing requirements.
• Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines.
• Works payor rejected claims for resubmission
• Appropriately documents patient accounting host system or other systems utilized by the organization in accordance with policy and procedures.
• Provides continuous updates and information to the Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
• Collect balances due from payors ensuring proper reimbursement for all services
• Professional and effective written and verbal English communication required.
• Knowledge of how insurance works (desire not requirement)

Requirements

Education:

• Degree in Finance, Accounting or equivalency
• Advanced English

Experience

• Experience with collections, payment or reimbursement verification and/or refunds.