Patient Financial Representative - Admitting

CHRISTUS Health•San Antonio, TX

About The Position

CHRISTUS Santa Rosa Hospital - Westover Hills is a 253-bed hospital serving the growing San Antonio area. The Patient Financial Representative supports the Revenue Cycle division by performing tasks that help resolve accounts and reconcile outstanding patient account balances. The role works cooperatively with a team and ensures processes are completed in a timely and efficient manner, while upholding CHRISTUS Health's ethical standards, mission, philosophy, and core values. The associate manages patient and payer information, handles account inquiries and correspondence, documents work in patient accounting and other systems, and supports departmental quality and productivity goals. Duties may include assembling and delivering supporting documentation, providing administrative support, retrieving and distributing mail, scanning documents, posting and reconciling payments, working cash queues, answering calls, assisting patients and payers, addressing complaints and requests, collecting third-party balances in compliance with applicable laws, and responding to attorney requests and subpoenas. Multiple shifts are available.

Requirements

  • High school diploma or equivalent years of experience.
  • Professional and effective written and verbal communication skills.
  • Ability to comply with CHRISTUS Health, payer, and government regulations.

Nice To Haves

  • Post-high-school education.
  • One to three years of experience.
  • General hospital accounts receivable knowledge.
  • College education, previous insurance company claims experience, or health care billing trade school education may be considered in lieu of formal hospital experience.

Responsibilities

  • Perform Revenue Cycle functions to meet or exceed CHRISTUS Health performance metrics and departmental quality and productivity standards.
  • Communicate professionally and effectively with internal and external customers to resolve outstanding account questions.
  • Manage and maintain patient and payer information to facilitate account resolution.
  • Respond to account inquiries through written, verbal, or electronic correspondence.
  • Maintain working knowledge of Revenue Cycle functions and comply with CHRISTUS Health, payer, and government regulations.
  • Document activities in the patient accounting host system and other systems according to policies and procedures.
  • Provide updates to the PFS Leadership Team regarding errors, issues, and trends affecting productivity, reimbursement, payment delays, or patient experience.
  • Complete requests for supporting documentation related to account resolution, audits, and other requests, and deliver materials to the appropriate party.
  • Provide departmental support services, including faxing, copying, printing forms, data entry, and reception relief.
  • Retrieve, sort, distribute, and deliver mail between facilities for Business Office Associates.
  • Scan and electronically upload documents.
  • Retrieve and accurately and promptly post payments, including lockbox, EFT/ACH, credit card, and patient payments, as well as JV entries for nonpatient cash.
  • Resolve work queues for missing or unapplied cash and monitor and perform cash reconciliation to identify posting errors and ensure receipts are applied.
  • Answer inbound departmental calls in a timely manner consistent with department or industry standards.
  • Collect and provide patient and payer information to facilitate account resolution.
  • Respond to patient and insurance company complaints, correspondence, inquiries, and requests for information.
  • Collect balances owed by third-party payers in accordance with applicable state and federal collection laws, conducting thorough and ethical collection efforts.
  • Complete attorney requests for billing records and subpoenas.
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