Patient Account Specialist - Family Clinic at Careerbuilder in Corpus Christi, Texas

Posted in Other 5 days ago.





Job Description:

Summary:


The Patient Account Representative is responsible for the accurate and timely billing and collecting of physician services.

  • Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment.
  • Identifies trends and their root cause to improve the effectiveness and efficiency of the physician revenue cycle.
  • Provide excellent customer service to market personnel, insurance carrier representatives and patients.
  • Document all follow-up efforts in practice management system.
  • Assists with patient education concerning insurance plan.
  • Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
  • Maintains strict confidentiality.
  • Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
  • Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control.
  • Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health's cultural diversity objectives.
  • Supports and adheres to CHRISTUS Health Service Guarantee.
  • Performs all other duties as assigned.



Requirements:

  • High school diploma or equivalent; college course work a plus.
  • Ability to operate telephone, computer, copier, fax machine and 10-key calculator by touch.
  • Effective oral and written communication skills
  • Detail oriented. Ability to work independently and as part of a team.
  • Minimum three years of physician billing experience.
  • Extensive knowledge of CPT, HCPCS and ICD-9 coding principles in a multi-specialty physician practice.
  • Thorough understanding of government and commercial payer guidelines as well as reimbursement methodologies.
  • Ability to successfully perform all aspects of the physician billing cycle including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal and refund processing.
  • Advanced understanding of medical terminology

Work Type:


Full Time