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Patient Financial Representative Senior - Patient Financial Services

Job Overview

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Employment Type

Full-time
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Work Schedule

Standard Hours
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Benefits

Health Insurance
Dental Insurance
Paid Time Off
Retirement Plan
Employee assistance program
Professional development opportunities
Life insurance

Job Description

CHRISTUS Health is a leading healthcare organization dedicated to providing comprehensive and compassionate medical services across multiple states. With a strong commitment to mission-driven care, CHRISTUS Health integrates a wide range of healthcare services including hospital systems, outpatient care, and ancillary services to support the health and well-being of the communities it serves. Emphasizing values such as dignity, integrity, compassion, excellence, and stewardship, CHRISTUS Health maintains high ethical standards while fostering a culture of respect and innovation. The organization has a vast network of multi-facility hospital business offices and specialized departments designed to optimize patient care as well as administrative efficiency.

The Revenue Cycle division plays a critical support role within CHRISTUS Health by managing financial processes related to patient accounts. This includes handling billing, collections, and cash reconciliation to ensure all patient account balances are accurate and resolved in a timely fashion. The associate position within the Revenue Cycle is vital in supporting this department’s mission by adhering to stringent quality and productivity standards. Working full-time from Monday to Friday, 8 AM to 5 PM, the associate serves as a key liaison between internal teams and external customers such as patients and insurance payors. The role demands excellent communication, problem-solving, and customer service skills to achieve account resolution efficiently.

As an associate in this role, you will perform a wide array of Revenue Cycle functions designed to support CHRISTUS Health’s financial health and patient satisfaction. Duties involve managing payor-related processes including billing claims, correcting claim edits, working with rejected claim resubmissions, and maintaining up-to-date knowledge of insurance and self-pay billing guidelines. You will be responsible for identifying denials, underpayments, and credit balances while coordinating with departmental liaisons to ensure timely resolution and compliance with payer and government regulations. Additionally, cash reconciliation tasks, such as posting payments accurately and resolving unapplied cash, are essential responsibilities in this position.

Beyond technical expertise, the associate is expected to embody leadership competencies relevant to their level, meet or exceed key performance indicators, and consistently generate timely, accurate, and effective communication with all internal and external stakeholders. This position requires adherence to CHRISTUS Health’s core values and fosters a cooperative team environment aimed at continuous improvement and operational excellence. Whether dealing with complex claim edits or ensuring precise cash reconciliation, the role offers an opportunity to contribute meaningfully to the financial operations that underpin quality healthcare delivery at CHRISTUS Health.

Job Requirements

  • HS diploma or equivalent years of experience required
  • 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

Job Qualifications

  • HS diploma or equivalent years of experience
  • 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
  • Professional and effective written and verbal communication skills
  • Knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines

Job Duties

  • 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
  • Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Job Criteria

Experience

Mid Level (3-7 years)


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