Summary
Responsible for support functions within the Revenue Cycle division of CHRISTUS Health, with a focus on account resolution and reconciliation of outstanding patient account balances. The role works collaboratively with internal and external customers in a team environment while supporting CHRISTUS Health’s mission, philosophy, and core values.
Key Responsibilities
- Perform Revenue Cycle functions to meet or exceed key performance metrics.
- Ensure PFS departmental quality and productivity standards are met.
- Collect and provide patient and payer information to support account resolution.
- Respond to account inquiries through written, verbal, and electronic correspondence.
- Maintain payer-specific knowledge of insurance and self-pay billing, follow-up guidelines, and third-party payer regulations.
- Communicate professionally with internal and external customers to resolve account questions.
- Support compliance with CHRISTUS Health, payer, and government regulations.
- Review claim edits and work rejected claims for resubmission.
- Handle reports and billing requests, including electronic claims editing and submission.
- Collect balances due from payors and support proper reimbursement.
- Identify and resolve denials, underpayments, and credit balances within payer timelines.
- Perform cash reconciliation, including posting payments accurately and resolving unapplied cash.
- Research cash payments, correct posting errors, and reconcile to bank statements and daily deposits.
- Resolve payment issues and patient complaints related to cash posting and refunds.
- Provide updates to leadership regarding errors, trends, productivity, reimbursement delays, and patient experience impacts.
Requirements & Qualifications
Education
- High school diploma or equivalent required.
- Post-secondary education preferred.
Experience
- 3-5 years of experience preferred.
- Experience in a multi-facility hospital business office environment preferred.
- College education, prior insurance claims experience, or healthcare billing trade school education may be considered in lieu of formal hospital experience.
- Experience with inpatient and outpatient billing requirements using UB-04 and HCFA 1500 forms preferred.
Skills and Knowledge
- Working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
- Strong written and verbal communication skills.
- Knowledge of billing, collections, cash reconciliation, and claim follow-up processes.
- Ability to work with patient accounting systems and related revenue cycle tools.
- Professional communication and customer service skills.
Certifications
- None required.
Location
Irving, Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
2 weeks ago