Patient Financial Specialist Jobs

Patient Financial Specialist

CHRISTUS Health

Location:
United States , Irving

Category:
Finance

Contract Type:
Not provided

Salary:

Not provided

Save Job

Apply Position

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. 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'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
Responsible to perform the necessary research in order to determine proper governmental requirements prior 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
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
Professional and effective written and verbal communication required
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
Maintains an active knowledge of all governmental agency requirements and updates
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 governmental agency requirements and updates
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
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 to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor
Manages account transfers between CHRISTUS Health and the various contracted vendors
Coordinates with Revenue Cycle Managers (Collections, Billing, Cash Applications, etc.) 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, which includes account placements, collections, returns, and performance metrics
Advises vendors of CHRISTUS Health billing and collection procedures and ensures accounts identified with third-party coverage are properly billed by the entities as requested by the vendor
Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems
Recalls accounts incorrectly placed and/or as requested by Revenue Cycle Managers with the external vendor and returns accounts to open receivables as appropriate
Creates tools, reports, or documentation that enables Revenue Cycle Leadership to understand, manage, and measure their vendor's performance and to prioritize important relationships
Performs account reconciliation between CHRISTUS Health system and vendor system

Requirements:

HS Diploma or equivalent years of experience required
Post HS education preferred
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

Additional Information:

Job Posted:
December 24, 2025

Employment Type:

Fulltime

Work Type:

On-site work

CHRISTUS Health - All Job Offers

Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Welcome to CrawlJobs.com –
Your Global Job Discovery Platform

At CrawlJobs.com, we simplify finding your next career opportunity by bringing job listings directly to you from all corners of the web. Using cutting-edge AI and web-crawling technologies, we gather and curate job offers from various sources across the globe, ensuring you have access to the most up-to-date job listings in one place.