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Patient Financial Representative Senior

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CHRISTUS Health

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Location:
United States , Irving

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Category:
Finance

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.

Job Responsibility:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's 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
  • Maintains working knowledge of all functions within the 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
  • Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures
  • Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience
  • Must have professional and effective written and verbal communication
  • Billing: Review and work on claim edits
  • Works payor rejected claims for resubmission
  • Works reports and billing requests
  • Demonstrates strong knowledge of standard bill forms and filing requirements
  • Exhibits and understanding of electronic claims editing and submission capabilities
  • Collections: Collect balances due from payors ensuring proper reimbursement for all services
  • Identifies and forwards proper account denial information to the designated departmental liaison
  • Dedicated 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
  • Cash Reconciliation: Ensures all payments are retrieved and posted accurately and timely through reconciliation of patient accounting system and bank statement
  • Researches submitted cash payments by verifying patient account numbers and appropriate facilities
  • Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements
  • Review and post cash corrections, including resolving patient complaints and inquiries from PFS, Finance, Facilities, and Vendor Partners
  • Resolve and Research unapplied cash, including continuous follow-up until payment identification is made for application of payment or refund

Requirements:

  • HS Diploma or equivalent years of experience required
  • 3-5 years of experience preferred
  • Experience working within a multi-facility hospital business office environment preferred
  • Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
  • College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience

Additional Information:

Job Posted:
December 24, 2025

Employment Type:
Fulltime
Work Type:
On-site work
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