Senior Patient Financial Care Specialist

CHRISTUS Health; Tyler (TX); On-site; USD 48,000 - 64,000; Full time

Job summary

CHRISTUS Health is seeking an associate for the Revenue Cycle division in a team-oriented environment in Texas. You will help resolve patient balances and support timely reimbursement for services, while upholding the highest standards of ethics and integrity aligned with CHRISTUS Health's mission and values.

The role involves handling payer information, resolving inquiries, and maintaining knowledge of billing guidelines across UB-04 and HCFA 1500 forms.

Qualifications

• HS Diploma or equivalent required.
• Post HS education preferred.
• 3-5 years of experience preferred.
• Experience in a multi-facility hospital business office environment preferred.
• Experience with inpatient and outpatient UB-04 and HCFA 1500 billing forms preferred.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Performs Revenue Cycle functions to meet 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 inquiries 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.
• Responsible for professional and effective written and verbal communication with internal and external customers to resolve account questions.
• Meets or exceeds customer expectations and gains trust and respect.
• Compliant with CHRISTUS Health, payer, and government regulations.
• Exhibits knowledge of CPT, HCPCS, and ICD-10 coding guidelines.
• Documents patient accounting host systems in accordance with policy and procedures.
• Provides updates to the PFS Leadership Team regarding errors, issues, and trends affecting productivity and reimbursement.
• Must have professional written and verbal communication.
• Billing: Review claims, work edits, resubmissions, and understand standard bill forms.
• Collections: Collect balances due from payors, identify denials, and manage follow-up.
• Cash Reconciliation: Post payments accurately and reconcile to bank statements.

Education

HS Diploma or equivalent

Post HS education preferred

Job description

CHRISTUS Health is seeking an associate for the Revenue Cycle division in a team-oriented environment in Texas. You will help resolve patient balances and support timely reimbursement for services, while upholding the highest standards of ethics and integrity aligned with CHRISTUS Health's mission and values.

The role involves handling payer information, resolving inquiries, and maintaining knowledge of billing guidelines across UB-04 and HCFA 1500 forms.