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The Christ Hospital Health Network · 4 months ago

TCHP Patient Financial Services Representative Associate - CBO Phys Div Billing - Full Time - Days

Cincinnati, OH

Full-time

Onsite

Entry Level

1+ years exp

The Christ Hospital Health Network is seeking a Patient Financial Services Representative Associate to support the Revenue Cycle billing and collections process. This role involves resolving billing issues, collaborating with stakeholders, and ensuring timely collection of outstanding balances while maintaining patient confidentiality.

Health CareHospitalMedical

Responsibilities

Responsible for the timely and accurate resolution of billing and reimbursement issues, customer service and collection of outstanding balances

Responsible for working with third party payors and intermediaries, following standard operating departmental procedures, to pursue prompt payment of professional claims for assigned financial classes, while meeting benchmarks, performance measurements and reporting requirements

Works collaboratively with internal/external stakeholders to resolve issues pertaining to assigned workgroup

Interacts and works with other areas of the patient financial services team to identify and resolve issues related to the billing and collections of medical claims, as well as patient and insurance provider payment posting

Performs other job-related duties and assignments as requested

Qualification

Payer contract interpretationBilling compliancePatient Financial ServicesWindows-based PC skillsMedical terminologyICD-10 codingCPT/HCPCS codingBasic EMR knowledgeClaims clearinghouse knowledge

Required

High school diploma or equivalent required

Windows-based PC skills and computer proficiency required

Basic EMR/billing system knowledge required

Basic claims clearinghouse system knowledge required

Preferred

1-3 years recent work experience interpreting payer contracts, professional and/or hospital reimbursement and billing compliance, developing and maintaining third party payer relationships, and familiarity with Patient Financial Services (PFS) processes for claim generation and submission, billing edits, payer processing requirements, and claim / medical records audit procedures

Familiarity with medical terminology, ICD-10 and CPT/HCPCS coding systems