Summary:

Performs all functions necessary to accomplish accurate billing and follow-up/collections of patient hospital accounts. Works as a back-up biller and/or collector when needed. Responsible for training all new billers/collectors. Works proficient with other departments resolving issues. Ensures systems and procedures are in place to maximize reimbursement from patients and all third-party payers. Prepares statistical and analytical reports for management review.

Responsibilities:

• Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability
• Ensures all accounts are processed for billing and follow-up activity
• Supervises the day-to-day work effort for billing and follow-up functions ensuring that established productivity and quality goals are achieved
• Maintains knowledge of all billing systems, and assist as necessary to troubleshoot issues with clearinghouse and payers
• Ensures the 72 hour and combined billing reports for insurance payers are worked daily
• Keeps abreast of all regulatory changes and communicates these to management, billing, and follow-up staff in a timely and effective manner
• Must have monthly meetings (or more as needed) with associates to review changes and/or new guidelines
• Monitors billing, follow-up/collections, and payment validation workflow, directs work task as necessary to manage fluctuation volumes
• Ensures managed care payments are paid according to managed care contracts and appeals are done for any underpayments
• Ensures overpayments are refunded to payer accordingly
• Provides feedback to Director regarding staff performance productivity and teamwork capabilities
• Analyzes, trends, reports and makes recommendations on billing issues, claim rejections and issues affecting timely follow-up and collections of accounts

Requirements:

Education/Skills

•  High school diploma or equivalent

Experience

•  0 ? 2 years of supervisory/management experience preferred. 
• 4 years of experience in similar or related role preferred. 

Licenses, Registrations, or Certifications

•  None required

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

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About CHRISTUS Health

CHRISTUS Health is an international faith-based, not-for-profit health care system based in Irving, Texas, with more than 60 hospitals in Texas, Louisiana, New Mexico, Chile, Colombia and Mexico. CHRISTUS Health is made up of 50,000 Associates providing compassionate and individualized care at more than 600 centers, including community hospitals, clinics, long-term care facilities and health ministries. Sponsored by the Sisters of Charity of the Incarnate Word of Houston, Sisters of Charity of the Incarnate Word of San Antonio and the Sisters of the Holy Family of Nazareth, our mission is to extend the healing ministry of Jesus Christ to every individual we serve.

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