CHRISTUS Health ยท 9 hours ago
Patient Financial Representative Senior - Financial Services
San Antonio, TX
Full-time
Onsite
Mid, Senior Level
3+ years expCHRISTUS Health is a healthcare organization focused on providing excellent patient care. The Patient Financial Representative Senior is responsible for ensuring account resolution and reconciliation of outstanding balances for patient accounts, while adhering to ethical standards and supporting the organization's mission.
Hospital & Health Care
Responsibilities
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
Responds to all types of account inquiries 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
Must have professional and effective written and verbal communication
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
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 collection requirements by payors
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
Cash Reconciliation
Ensures all payments are retrieved and posted accurately and timely through reconciliation of patient accounting system and bank statement
Researches submitted cash payments by verifying patient account numbers and appropriate facilities
Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements
Review and post cash corrections, including resolving patient complaints and inquiries from PFS, Finance, Facilities, and Vendor Partners
Resolve and Research unapplied cash, including continuous follow-up until payment identification is made for application of payment or refund
Qualification
Required
HS Diploma or equivalent years of experience required
Preferred
Post HS education preferred
3-5 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
Company
CHRISTUS Health
CHRISTUS Health is a Catholic not-for-profit health care system comprising more than 600 centers, including long-term care facilities, community hospitals, walk-in clinics and health ministries.
10001+ employees
H1B Sponsorship
CHRISTUS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (43)
2024 (35)
2023 (54)
2022 (46)
2021 (22)
2020 (26)
Funding
Current Stage
Late StageLeadership Team
Terry Kyle
CEO and CDO The Children's Hospital of San Antonio Foundation & Friends of CHRISTUS Santa Rosa Fnd
Thomas Royer, MD
CEO Emeritus
Company data provided by crunchbase