Summary
Responsible for support activities within the Revenue Cycle division of CHRISTUS Health. The role focuses on account resolution and reconciliation of outstanding patient balances and works collaboratively with internal and external customers to support timely and efficient processing.
Responsibilities
- Meet applicable OneCHRISTUS competencies and performance expectations.
- Perform Revenue Cycle functions to meet or exceed key performance metrics.
- Meet PFS quality and productivity standards.
- Collect and provide patient and payor information to support account resolution.
- Respond to account inquiries via written, verbal, and electronic communication.
- Maintain knowledge of insurance, self-pay billing, and third-party follow-up guidelines.
- Communicate professionally with internal and external customers to resolve account questions.
- Maintain compliance with CHRISTUS Health, payer, and government regulations.
- Work claim edits, rejected claims, billing requests, and resubmissions.
- Collect balances due from payors and resolve denials, underpayments, and credit balances.
- Perform cash reconciliation, post payments accurately, and resolve unapplied cash.
- Provide updates to leadership regarding issues, trends, delays, and productivity impacts.
Requirements & Qualifications
Education
- High school diploma or equivalent required.
- Post-secondary education preferred.
Experience
- 3 to 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.
Skills
- Strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
- Professional written and verbal communication skills.
- Ability to work with billing, collections, claim edits, and cash reconciliation processes.
- Knowledge of payor requirements and account resolution workflows.
Certifications
- None required.
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
3 weeks ago