Patient Financial Specialist Lead - Patient Financial Services

About the Role

The associate is responsible for support duties and services within the Revenue Cycle division of CHRISTUS Health, ensuring all processes are performed in a timely and efficient manner. This role focuses on account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts, working in a cooperative team environment to provide value to internal and external customers.

The associate must demonstrate high proficiency in their primary position within the Patient Financial Services (PFS) Department, applying expertise and knowledge to a variety of activities. This role offers opportunities to increase scope of responsibility and serves as a resource for innovation, staff support, and process improvements. The Patient Financial Specialist Lead adheres to the highest standards of ethical and moral conduct, supporting CHRISTUS Health's core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.

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-the-job training and serves as a knowledge resource 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 manages special projects in addition to normal workload.
• Remains flexible if duties are reassigned, including transferring to other units to best serve PFS and CHRISTUS Health.
• Responsible for professional and effective written and verbal communication with internal and external customers to resolve account questions while maintaining compliance with payer and government regulations.
• Ensures quality and productivity standards are met or exceeded.
• Appropriately documents patient accounting host systems or other systems utilized by Patient Financial Services in accordance with policy and procedures.
• Provides continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends affecting productivity, reimbursement, payment delays, and patient experience.
• Functions effectively within a team, contributing constructively to produce results in a cooperative effort.
• Continually seeks to understand and act upon customer needs, concerns, and priorities, meeting customer expectations and gaining their trust and respect.
• Demonstrates expertise in role requirements as outlined in the job description for a specific area of responsibility.
• Must have in-depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Document Imaging, Databases, etc.
• Strong understanding of systems from an end-user and processing perspective.
• Must have good technical aptitude working with MS Office products (Word, Excel, PowerPoint, Outlook) and the ability to learn and develop advanced skills.
• Understanding of government and non-government programs, billing, customer service, and cash applications.
• Understanding of alternative Business Office financial resources and the ability to provide information or recommendations related to these sources of recovery are preferred.

Requirements

• High School Diploma or equivalency required; post-secondary education preferred.
• 5-7 years of experience preferred.
• Demonstrated success working in a team environment focused on meeting organizational goals and objectives.
• Experience in role requirements as outlined in the job description for a specific area of responsibility preferred.
• College education, previous insurance company claims experience, 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 or recommendations related to these sources of recovery are preferred.
• Experience working within a multi-facility hospital business office environment preferred.

Schedule

Full-time, Monday through Friday, 8 AM to 5 PM.