Summary
The associate supports the Revenue Cycle division of CHRISTUS Health and is responsible for timely and efficient processing of patient accounts. The primary purpose of this role is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts while working collaboratively with internal and external customers.
The associate is expected to uphold CHRISTUS Health’s Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.
Responsibilities
- Meet expectations of the applicable OneCHRISTUS competencies.
- 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 payor information to support account resolution.
- Respond to account inquiries through written, verbal, or electronic communication.
- Maintain payor-specific knowledge of insurance, self-pay billing, follow-up guidelines, and third-party payer regulations.
- Communicate professionally and effectively with internal and external customers to resolve account issues.
- Comply with CHRISTUS Health, payer, and government regulations.
- Apply working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
- Document patient accounting and related systems according to policy and procedures.
- Provide leadership updates on errors, issues, and trends affecting productivity, reimbursement, payment delays, and patient experience.
- Review claim edits and work rejected claims for resubmission.
- Process billing requests and maintain knowledge of standard bill forms and filing requirements.
- Support electronic claims editing and submission.
- Collect balances due from payors and ensure proper reimbursement.
- Identify and resolve denial issues, underpayments, and credit balances within payor guidelines.
- Work collector queues and follow up on collection activities.
- Perform cash reconciliation, including posting payments accurately and researching unapplied cash.
- Resolve cash posting errors, patient complaints, and related inquiries.
- Follow up on payment identification until payments are properly applied or refunded.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required.
- Post-secondary education preferred.
- 3-5 years of experience preferred.
- Experience in a multi-facility hospital business office environment preferred.
- College education, insurance claims experience, or health care billing trade school education may be considered in lieu of formal hospital experience.
- Experience with inpatient and outpatient billing requirements for UB-04 and HCFA 1500 forms preferred.
- None required for licenses, registrations, or certifications.
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
2 weeks ago
Browse More Jobs