Coord Patient Accounts
Company: Christus Health
Location: Corpus Christi
Posted on: January 17, 2020
Processes and enters charge information into database. Completes
billing process and distributes billing information. Verifies
insurance benefits and assists with referrals. May prepare checks
for deposits. Monitors accounts receivable to maintain appropriate
levels and reviews payments to maximize reimbursement. Interacts
with patients, insurance carriers, the Billing Department and
practice personnel concerning patient accounts. Performs all
functions in a courteous and professional manner. Assures all
appropriate licensure, certifications and/or accreditations are
secured according to policy to include all credentialing issues
related to the service. Coordinates all Insurance Authorizations
for the service.
Verifies and updates necessary information; enters patient
demographics and insurance information into the computer.
Review tickets for accuracy and completeness, determine appropriate
fees for services rendered, calculate totals, collect appropriate
amount from patients, properly record information. Responsible for
posting hospital charges or other satellite services. Utilizes
correct ICD9, CPT and HCPCS coding methods to determine the proper
code for the services rendered.
Responsible for cross-checking tickets and correcting all detected
errors; notifies physician and patient of corrections. Reconciles
daily charge tickets within established guidelines.
Processes payments received in person and by mail. Records, totals
and prepares monies for deposit according to company procedure.
Makes adjustments to patients' account including editing charge
entries and entering charge corrections, according to established
May reconcile over-the-counter payments with daily input and makes
adjustments as needed.
Handles collection efforts for all outstanding accounts including
patient calls and sending correspondence. Takes necessary steps to
establish acceptable payment schedules or refer appropriate
accounts to collection agency.
May post over-the-counter payments to accounts (or NSF checks) for
outstanding balances, including discounts, adjustments and
Obtains approval/arrangement of Budget plan booklets as established
by policy or practice. Follows up to determine if payment
arrangements are being met, contacts patients to resolve problems,
responds to correspondence or telephone calls from patients about
Follows up, either by telephone or in writing, with insurance
companies and patients regarding the processing of outstanding
claims and/or appeals.
Reviews all Explanations of Benefits (EOBs) and initiates
collection procedures for those with zero payments.
Maintains NSF checks to ensure the applicable account is added back
to accounts receivable, in accordance with NSF policies and
Generates various reports necessary to manage accounts receivable,
including denial reports, insurance follow up reports, NSF reports
and month end reports.
Communicates information to appropriate personnel. Educates staff
on corrections, e.g. front-end entry errors in a positive,
Collects and reviews managed care contracts for correct billing and
Identifies problem accounts and follows through to completion.
Reviews EOBs to ensure proper reimbursement of claims and reports
any problems, issues or payer trends to supervisor.
Reviews credit balance reports for correct recipient of refund.
Resolves patient billing complaints and questions, initiates
adjustments as necessary.
Participates in company sponsored collection forums and other
Helps fiscal management and other administrative staff in
implementing cost effective policies and procedures for all areas
including billing, insurance, fee schedules, credit/collections,
purchasing, and data processing.
Gathers and reports monthly and annual data for fiscal, statistical
and planning purposes. Develops and implements revenue enhancement
strategies for existing practices.
Responsible for assuring all appropriate licensure, certifications
and/or accreditations are secured according to policy.
Follows the CHRISTUS Physician Group 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
Maintains established CHRISTUS Physician Group 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
Physician Group's cultural diversity objectives.
Supports and adheres to CPG Service Guarantee.
Performs other related work as required. Requirements
High school diploma or GED.
Ability to operate 10 key calculator by touch.
Knowledge of medical software systems.
Ability to prioritize multiple tasks.
Three years of accounts receivable experience including two years
of experience in a health care organization; one year of experience
in a managed care setting preferred. Working knowledge of ICD9, CPT
and HCPCS coding. Knowledge of Medicare, Medicaid and Worker's
Keywords: Christus Health, Corpus Christi , Coord Patient Accounts, Other , Corpus Christi, Texas
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