Senior Patient Access & Billing Specialist

CHRISTUS Health; Tyler (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

CHRISTUS Health in Tyler, TX is seeking a Senior Patient Access Representative to handle the financial aspects of patient care, including counseling, billing and collections. You will interact with patients, families, physicians, nurses, insurers and third-party payers to resolve accounts while ensuring regulatory compliance.

The role emphasizes accurate claim submission, timely follow-up on denials, and collaboration with managers to meet performance targets within a full-time schedule

Qualifications

• High School Diploma or equivalent required or preferred
• 3-5 years of experience in patient access, billing or related roles
• Strong communication and compliance focus

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies.
• Submits insurance claims to third party payors electronically and on paper.
• Follows up on unpaid third party claims to resolution (payment or denial).
• Evaluates and processes accounts for adjustments, charity, outside assistance or bad debt.
• Collects balances due from patients using phone calls, personal contact, statements, letters or third party services.
• Receives, processes and responds to correspondence or phone inquiries from patients, guarantors, insurance companies, attorneys, etc.
• Compiles data, tracks results and reports to management.
• May be assigned specialty responsibilities in the areas of refunds, reconciliation, balancing and/or posting and in data collection and analysis.
• Handles difficult patient account management issues referred by other staff.
• Supports the department in achieving established performance targets.
• Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.
• Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
• Assists managers with various duties including, but not limited to, review of write-offs, adjustments, refunds and discounts; coordinating work group activities; and training of other staff.

Education

High School Diploma or equivalent

Job description

CHRISTUS Health in Tyler, TX is seeking a Senior Patient Access Representative to handle the financial aspects of patient care, including counseling, billing and collections. You will interact with patients, families, physicians, nurses, insurers and third-party payers to resolve accounts while ensuring regulatory compliance.

The role emphasizes accurate claim submission, timely follow-up on denials, and collaboration with managers to meet performance targets within a full-time schedule