Job Description

HB Revenue Cycle Business Specialist II/ Patient Account Services / Full-Time at Christus Health summary:

This role involves managing hospital billing, collections, and reimbursement processes while ensuring compliance with government regulations. The specialist communicates with internal and external customers, handles sensitive account information, and uses various software tools to support billing operations. Experience in Medicare, Medicaid, or insurance billing and collections is preferred, along with strong communication and organizational skills.

POSITION SUMMARY: Responsible for performing billing, collections and reimbursement services of claims and duties of the hospital business office. In doing so, ensures that all claims billed and collected meet all government-mandated procedures for Integrity and Compliance.

EDUCATION: HS Diploma or equivalency required

CERTIFICATION/LICENSES: None required

SKILLS:

• Must have good verbal and written communication skills in order to present and explain information to internal and external customers
• Ability to write letters using proper English, grammar, spelling, vocabulary, and punctuation
• Must have practical experience with Adobe, Word, Excel and Microsoft Outlook applications. Also, any other computer applications related to the work (document imaging systems, Organizational Share Point, Revenue Cycle systems)
• Must have ability to make independent decisions that are generally guided by established procedures.
• Must have a desire to learn ethical and compliant business practices.
• Must be able to handle sensitive, stressful and confidential situations and account information.
• Must have excellent keyboarding and 10-key skill-set.
• Must have knowledge to perform functions requiring the use of the Internet.
• Willingness and ability to learn new task.
• Understanding of alternative Business Office financial resources
• Ability to provide information and/or recommendations related to sources of recovery
• Knowledge of general hospital A/R accounts

• GENERAL/ORGANIZATIONAL COMPETENCIES:

• Quality/Compliance: Achieves a standard of excellence with work processes and outcomes, honoring Organizational policies and all regulatory requirements.
• Customer focus: Strives for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the patient, family member or customer rather than our department or organization.
• Safety Mindset: Promptly reports or corrects any unsafe condition. Records/reports the need for service maintenance or repair of equipment and removes any faulty equipment from service.
• Communication: Balances listening and talking, speaking and writing clearly and accurately, influencing others, keeping others informed.
• Collegiality: Is helpful, respectful, approachable and team oriented, building strong working relationships and a positive work environment.
• Initiative: Takes ownership of the work, doing what is needed without being asked, following through
• Efficiency: Plans, manages time well, is on time, is cost conscious, and thinks of better ways to do things.
• Coach-ability: Is receptive to feedback, demonstrates a willingness to learn, and embraces continuous improvement.
• Demonstrates an ability to work in a collaborative manner.
• Diversity: Acknowledges and respects cultural diversity in all interactions.

EXPERIENCE: Two years of experience preferred in any of the following: Medicare, Medicaid and/or Commercial Insurance billing, collections, payment and reimbursement verification and/or refunds. College education in business and/or accounting may substitute for experience on a year for year basis up to two years.

NATURE OF SUPERVISION:

Responsible to: Manager, Business Office

ENVIRONMENT:

-Bloodborne pathogen: A

Works in a clean, well-lighted smoke free environment.

PHYSICAL REQUIREMENTS: Long periods of sitting, walking. Must be flexible in work schedule. Subject to stressful situations. Extended use of video display terminal and keyboard utilizing sound ergonomic principles. May be required to push, pull or lift up to 20 pounds.

Keywords:

revenue cycle management, patient account services, hospital billing, medical collections, insurance reimbursement, Medicare billing, Medicaid billing, medical claims processing, healthcare compliance, business office specialist

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