Summary:

The Patient Access Representative Senior must demonstrate a consistently high degree of proficiency in their primary position within the Patient Access Department of CHRISTUS Health. The Patient Access Representative Senior is responsible for various activities in the department. This position's main purpose is to evaluate unbilled accounts for qualification for combining with another account according to government and other payer regulations. In addition to performing the job duties as outlined in the job description of their primary role, a Patient Access Representative Senior must meet the accountabilities outlined below. 

The Patient Access Representative Senior 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 core values of Dignity, Integrity, Compassion, Excellence, and Stewardship. 

Responsibilities:

• Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
• Ensures PAS departmental quality and productivity standards are met.
• Functions as a subject matter expert in support of other PAS team members and other departments/facilities within the CHRISTUS Health network.
• Demonstrate a good understanding of payer benefits requirements, and how to maintain or improve the current workflow in the Senior respective department.
• Maintains an active working knowledge of Government and Non-Government Regulations as it pertains to claims submission.
• Adapt to process and procedure evaluations and improvements, support continuous change, and willingly manage special projects in addition to normal workload and other duties as assigned.
• Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding account resolution.
• Appropriately documents patient accounting host system or other systems utilized by PAS in accordance with policy and procedures.
• Provides continuous updates and information to PAS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, and/or payment delays.

Requirements:

Education/Skills

• HS Diploma or equivalency required
• Post HS education preferred

Experience

• Prefer three (3) years of experience and working knowledge in the Patient Access Department.
• Experience calculating expected reimbursement according to payer regulations and/or contracts
• In-depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Documenting and, inputting correct information in patient?s accounts in a timely manner.
• Good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and/or ability to learn and develop more advanced skills with various applications.
• Strong verbal and written communication skills. Ability to effectively and efficiently articulate ideas to team members and management in a timely manner.
• Good understanding of the various areas of government, non-government programs, billing, customer service, and cash applications.
• General hospital A/R accounts knowledge is required.
• College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience.
• Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred.

Licenses, Registrations, or Certifications

• None required

Work Type:

Full Time

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About CHRISTUS Health

CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.

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