CHRISTUS Health · 5 days ago
Billing Representative - Business Office
San Antonio, TX
Full-time
Onsite
Mid Level
3+ years expCHRISTUS Health is seeking a Billing Representative to process and enter billing information into their database. The role involves verifying insurance benefits, handling patient accounts, and ensuring accurate billing practices in a professional manner.
Responsibilities
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
Processes payments received in person and by mail. Records, totals and prepares monies for deposit according to procedure
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 write-offs
Follows up to determine if payment arrangements are being met, contacts patients to resolve problems, responds to correspondence or telephone calls from patients about accounts
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 procedures
Generates various reports necessary to manage accounts receivable, including denial reports, insurance follow up reports, NSF reports and month end reports
Educates staff on corrections, e.g. front-end entry errors in a positive, constructive manner
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
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
Follows the CHRISTUS Health 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 CHRISTUS Health Mission
Maintains established policies, procedures, objectives, quality assurance, safety, environmental and infection control
Implements job responsibilities in a manner that is consistent with the CHRISTUS Health Mission and Values
Performs other related work as required
Qualification
Required
High school diploma or GED
2 years experience in physician practice
3 years accounts receivable experience
Knowledge of billing and coding
Company
CHRISTUS Health
CHRISTUS Health is a Catholic not-for-profit health care system comprising more than 600 centers, including long-term care facilities, community hospitals, walk-in clinics and health ministries.
10001+ employees
H1B Sponsorship
CHRISTUS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (43)
2024 (35)
2023 (54)
2022 (46)
2021 (22)
2020 (26)
Funding
Current Stage
Late StageLeadership Team
Terry Kyle
CEO and CDO The Children's Hospital of San Antonio Foundation & Friends of CHRISTUS Santa Rosa Fnd
Thomas Royer, MD
CEO Emeritus
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