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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 perform tasks that support 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. The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence and Stewardship.
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 key performance metrics
Ensures PFS departmental quality and productivity standards are met
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
Manages and maintains patient and payor information to facilitate account resolution
Responds to all types of account inquiries through written, verbal or electronic correspondence
Develops and maintains working knowledge of all functions within the Revenue Cycle
Meets or exceeds customer expectations and requirements, and gains customer trust and respect
Compliant with all CHRISTUS Health, payer, and government regulations
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
Has professional and effective written and verbal communication
Completes requests for supporting documentation related to account resolution, audits and other requests and ensures delivery to appropriate party
Perform support services for departmental Associates such as faxing of documents, copying, printing of forms, data entry and reception relief
Performs mail retrieval, sorting, distribution and inter-facility delivery duties for all Business Office Associates
Performs scanning and electronic upload of documents
Ensures all payments are retrieved and posted accurately and timely, post lockbox monies, EFT/ACH monies, credit card payments, and patient payments including JV entries for nonpatient cash
Resolves submitted work queues for missing and/or unapplied cash
Monitor and perform cash reconciliation to identify cash posting errors and ensure all receipts are applied
Answers inbound calls to the department in a timely manner, consistent with department and/or industry standards
Collects and provides patient and payor information to facilitate account resolution
Responds to patient and insurance company complaints, correspondence, inquiries, and requests for information
Collects balance owing from third-party payers in accordance with state and federal laws governing collection practices. Ensures that collection efforts are thorough with the overall objective being to collect the outstanding balance in an ethical manner
Complete Attorney requests for billing records and subpoenas
Requirements:
HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
General hospital A/R accounts knowledge is 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