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CHRISTUS Health Logo CHRISTUS Health · Customer Service

Patient Financial Specialist - Patient Financial Services

United States, Irving · Job Posted June 10, 2026
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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 these positions 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
  • Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
  • 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
  • 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
  • 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
  • Professional and effective written and verbal communication required
  • 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
  • Corrects claims in RTP status in the designated claim system per Medicare guidelines
  • Maintains an active knowledge of all governmental agency requirements and updates
  • Collects balances due from payors ensuring proper reimbursement for all services
  • Identifies and forwards proper account denial information to the designated departmental liaison
  • Works collector queue daily utilizing appropriate collection system and reports
  • 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
  • Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed
  • Working knowledge of the CMS 838 credit balance report
  • Acts as liaison between external vendors and Revenue Cycle departments
  • Manages account transfers between CHRISTUS Health and the various contracted vendors
  • Coordinates with Revenue Cycle Managers to review of selected accounts prior to transfer and placement with an external third party
  • Ensures accounts deemed as closed or uncollectible by the vendors are properly reflected in applicable AR systems
  • Maintains department reports measuring agency performance
  • Advises vendors of CHRISTUS Health billing and collection procedures
  • Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract
  • Recalls accounts incorrectly placed and/or as requested by Revenue Cycle Managers
  • Creates tools, reports, or documentation that enables Revenue Cycle Leadership to understand, manage, and measure their vendor's performance
  • Performs account reconciliation between CHRISTUS Health system and vendor system.

Requirements

  • HS Diploma or equivalent years of experience required
  • 1-3 years of experience preferred
  • Experience working within a multi-facility hospital business office environment 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
  • Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
  • Experience with Medicare & Medicaid billing processes and regulations preferred
  • Understanding of Medicare language
  • Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.
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