CHRISTUS Health
Patient Financial Specialist Lead - Financial Services
CHRISTUS Health, Irving, Texas, United States, 75084
Patient Financial Specialist Lead – Financial Services at CHRISTUS Health
The Patient Financial Specialist Lead carries out duties by adhering to the highest standards of ethical and moral conduct, acting in the best interest of CHRISTUS Health and supporting its core values of Dignity, Integrity, Compassion, Excellence, and Stewardship. The role ensures account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts, supporting the Revenue Cycle division and providing value to internal and external customers.
Responsibilities
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Functions as a subject matter expert in support of other PFS team members and other departments/facilities within the CHRISTUS Health network.
Provides on‑job training as needed and serves as a source of knowledge for staff inquiries.
Demonstrates a strong understanding of payer benefits requirements, online claims status, submission, billing, cash application, and reconciliation procedures.
Approves or denies requested adjustments and refunds within role thresholds.
Adapts to process and procedure evaluations and improvements, supports continuous change, and willingly manages special projects in addition to normal workload and other duties as assigned.
Remains flexible if duties are reassigned, which may involve transferring to a more appropriate unit to best serve PFS and CHRISTUS Health.
Communicates professionally and effectively, both in writing and verbally, with internal and external customers to resolve outstanding questions for account resolution while maintaining account integrity and compliance with payer and/or government regulations.
Ensures quality and productivity standards are met or exceeded.
Documents patient accounting host system or other systems utilized by Patient Financial Services in accordance with policy and procedures.
Provides continuous updates to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
Functions effectively within a team and contributes constructively to produce results in a cooperative effort.
Continually seeks to understand and act upon customer needs, concerns, and priorities; meets customer expectations and requirements, and gains customer trust and respect.
Demonstrates expertise in role requirements as outlined in the job description for a specific area of responsibility.
Has in‑depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Document Imaging, Databases, etc., and a strong understanding of systems from an end‑user and processing perspective.
Possesses good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and an ability to learn and develop more advanced skills with the various applications.
Communicates professionally and effectively in writing and verbally.
Has a good understanding of the various areas of government, non‑government programs, billing, customer service, and cash applications.
Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery is preferred.
Education and Skills
HS Diploma or equivalency required.
Post‑high‑school education preferred.
Experience
5‑7 years of experience preferred.
Demonstrated success working in a team environment focused on meeting organization goals and objectives required.
Experience in role requirements as outlined in job description for a specific area of responsibility 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.
Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery preferred.
Experience working within a multi‑facility hospital business office environment preferred.
Licenses, Registrations, or Certifications None required.
Work Schedule 8:00 AM – 5:00 PM Monday‑Friday
Work Type Full Time
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The Patient Financial Specialist Lead carries out duties by adhering to the highest standards of ethical and moral conduct, acting in the best interest of CHRISTUS Health and supporting its core values of Dignity, Integrity, Compassion, Excellence, and Stewardship. The role ensures account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts, supporting the Revenue Cycle division and providing value to internal and external customers.
Responsibilities
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Functions as a subject matter expert in support of other PFS team members and other departments/facilities within the CHRISTUS Health network.
Provides on‑job training as needed and serves as a source of knowledge for staff inquiries.
Demonstrates a strong understanding of payer benefits requirements, online claims status, submission, billing, cash application, and reconciliation procedures.
Approves or denies requested adjustments and refunds within role thresholds.
Adapts to process and procedure evaluations and improvements, supports continuous change, and willingly manages special projects in addition to normal workload and other duties as assigned.
Remains flexible if duties are reassigned, which may involve transferring to a more appropriate unit to best serve PFS and CHRISTUS Health.
Communicates professionally and effectively, both in writing and verbally, with internal and external customers to resolve outstanding questions for account resolution while maintaining account integrity and compliance with payer and/or government regulations.
Ensures quality and productivity standards are met or exceeded.
Documents patient accounting host system or other systems utilized by Patient Financial Services in accordance with policy and procedures.
Provides continuous updates to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
Functions effectively within a team and contributes constructively to produce results in a cooperative effort.
Continually seeks to understand and act upon customer needs, concerns, and priorities; meets customer expectations and requirements, and gains customer trust and respect.
Demonstrates expertise in role requirements as outlined in the job description for a specific area of responsibility.
Has in‑depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Document Imaging, Databases, etc., and a strong understanding of systems from an end‑user and processing perspective.
Possesses good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and an ability to learn and develop more advanced skills with the various applications.
Communicates professionally and effectively in writing and verbally.
Has a good understanding of the various areas of government, non‑government programs, billing, customer service, and cash applications.
Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery is preferred.
Education and Skills
HS Diploma or equivalency required.
Post‑high‑school education preferred.
Experience
5‑7 years of experience preferred.
Demonstrated success working in a team environment focused on meeting organization goals and objectives required.
Experience in role requirements as outlined in job description for a specific area of responsibility 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.
Understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery preferred.
Experience working within a multi‑facility hospital business office environment preferred.
Licenses, Registrations, or Certifications None required.
Work Schedule 8:00 AM – 5:00 PM Monday‑Friday
Work Type Full Time
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