Patient Financial Representative Jr

CHRISTUS Excellence and Innovation Center; Monterrey; Presencial; MXN 180.000 - 300.000; Jornada completa

Descripción de la vacante

CHRISTUS Excellence and Innovation Center in Monterrey seeks an accounts receivable collections specialist to manage patient and payor balances. You will work with private and government payers to resolve outstanding claims, gather documentation, and ensure timely reimbursement.

Requires advanced English and experience in collections or reimbursement verification. The role emphasizes accurate documentation and timely follow-up with payors.

Formación

• Degree in Finance, Accounting or equivalent.
• Advanced English required.
• Experience with collections, payment or reimbursement verification and/or refunds.

Responsabilidades

• Collects and provides patient and payor information to facilitate account resolution.
• Responds to all types of account inquiries 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 follow up activities within payor timely guidelines.
• Works payor rejected claims for resubmission
• Documents patient accounting host system or other systems in accordance with policy and procedures.
• Provides updates to Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.

Educación

Degree in Finance, Accounting or equivalency

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.