Patient Financial Representative Senior - Hospital Collections -Santa Rosa - CHRISTUS Health

Summary:

MAJOR JOB RESPONSIBILITIES

• Performs Revenue Cycle functions in a manner that meets or exceeds 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 inquires 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. Maintains working knowledge of all functions within Revenue Cycle.
• Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
• Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
• Compliant with all CHRISTUS Health, payer and government regulations.
• Exhibits a strong working knowledge of CPT, HCPCS and ICD-10 coding regulations and guidelines.

Collections

• Collect balances due from payors ensuring proper reimbursement for all services.
• Identifies and forwards proper account denial information to the designated departmental liaison. Dedicates efforts to ensure a proper denial resolution and timely turnaround.
• Maintain an active knowledge of all collection requirements by payors.
• Works collector queue daily utilizing appropriate collection system and reports.
• Demonstrates knowledge of standard bill forms and filing requirements.
• Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines.
• Identify and resolve credit balances with the appropriate follow up activities within payor timely guidelines.
• Identify and communicate trends impacting account resolution.

Requirements:

• HS Diploma or equivalency preferred

Work Type:

Full Time

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