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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 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
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
Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends
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
Correct claims in RTP status in the designated claim system per Medicare 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
Maintain an active knowledge of all governmental agency requirements and updates
Works collector queue daily utilizing appropriate collection system and reports
Identify and resolve underpayments with the appropriate follow-up activities
Identify and resolve credit balances with the appropriate follow-up activities
Identify and communicate trends impacting account resolution
Corrects claims in RTP status in the designated claim system per Medicare guidelines
Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed
Working knowledge of the CMS 838 credit balance report
Vendor Coordinator: 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 with the external vendor
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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