Financial Representative Salary in Tyler, TX

DescriptionSummary:Patient Access Representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. Patient Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access has numerous procedural requirements including data elements, insurance verification, authorization for services, and collections for all patient portions including prior balances. Patient Access staff is responsible for the successful financial outcome of all patient services. Patient Access is responsible for ensuring the hospital maintains compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. Patient Access communicates directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, and behavior, good communication skills and effective organizational skills. Patient Access representatives require dependability, flexibility, and teamwork.Responsibilities: Accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.Verifies insurance eligibility and obtains necessary authorizations for services rendered.Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.Performs financial assessment for appropriate program assistance.Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents.Represents the Patient Access department in a professional, courteous manner at ALL times.Required to assist the hospital in the event of an internal or external disaster.Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change.Supports the department in achieving established performance targets.Completes required training as needed and as mandated.Maintains the team discipline of following all elements of established standard processesWorks with HPWT (High Performance Work Teams) to maintain an efficient, clean, and orderly workplace using 5S principles and practices once implemented in the work unit.Coordinates, communicates, and assists in monitoring work flow and work tasks necessary to manage fluctuating volumes.Provides feedback to the team to help identify educational needs, and mediation needs by reporting IPOs (issues, problems, and opportunities).Demonstrates competence to perform assigned responsibilities is a manner that meets the population-specific and developmental needs of the members served by the department. Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each member served. Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.Performs other duties as assigned. Requirements:High School DiplomaWork Type: Per Diem As NeededEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:Major ResponsibilitiesPerforms Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health key performance metrics.Ensures PFS departmental quality and productivity standards are met.Collects and provides patient and payor information to facilitate account resolution.Responds to all types of account inquires through written, verbal or electronic correspondence.Maintains payor specific knowledge of insurance and self-pay billing and follow up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within Revenue Cycle.Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.Meets or exceeds customer expectations and requirements, and gains customer trust and respect.Compliant with all CHRISTUS Health, payer and government regulations.Exhibits a strong working knowledge of CPT, HCPCS and ICD-10 coding regulations and guidelines.CollectionsCollect balances due from payors ensuring proper reimbursement for all services.Identifies and forwards proper account denial information to the designated departmental liaison. Dedicates efforts to ensure a proper denial resolution and timely turnaround.Maintain an active knowledge of all collection requirements by payors.Works collector queue daily utilizing appropriate collection system and reports.Demonstrates knowledge of standard bill forms and filing requirements.Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines.Identify and resolve credit balances with the appropriate follow up activities within payor timely guidelines.Identify and communicate trends impacting account resolution.Requirements:HS Diploma or equivalency preferredWork Type:Full TimeFull TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:This position is a back up for business office functions, providing work coverage for the various operational work units in the RCBS organization. This includes billing, collections, reimbursement validation, cash posting, mail handling, scanning, sorting, assembly, copying, faxing, and data entry functions. In addition, this position provides training to Associates on RCBS processes as required by the Manager to support new and existing Associates.Responsibilities: Provides back up coverage and support for various positions within RCBS as assigned by the managerProvides coaching and mentoring for associates on transactional processes assigned by the managerAnd all other duties assigned.Requirements:HS Diploma or equivalency preferredWork Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:This position is a back up for business office functions, providing work coverage for the various operational work units in the RCBS organization. This includes billing, collections, reimbursement validation, cash posting, mail handling, scanning, sorting, assembly, copying, faxing, and data entry functions. In addition, this position provides training to Associates on RCBS processes as required by the Manager to support new and existing Associates.Responsibilities: Provides back up coverage and support for various positions within RCBS as assigned by the managerProvides coaching and mentoring for associates on transactional processes assigned by the managerAnd all other duties assignedRequirements:HS Diploma or equivalency preferredWork Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:Patient Access Representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. Patient Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access has numerous procedural requirements including data elements, insurance verification, authorization for services, and collections for all patient portions including prior balances. Patient Access staff is responsible for the successful financial outcome of all patient services. Patient Access is responsible for ensuring the hospital maintains compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. Patient Access communicates directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, and behavior, good communication skills and effective organizational skills. Patient Access representatives require dependability, flexibility, and teamwork.Responsibilities:Accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.Verifies insurance eligibility and obtains necessary authorizations for services rendered.Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.Performs financial assessment for appropriate program assistance.Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents.Represents the Patient Access department in a professional, courteous manner at ALL times.Required to assist the hospital in the event of an internal or external disaster.Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change.Supports the department in achieving established performance targets.Completes required training as needed and as mandated.Maintains the team discipline of following all elements of established standard processesWorks with HPWT (High Performance Work Teams) to maintain an efficient, clean, and orderly workplace using 5S principles and practices once implemented in the work unit.Coordinates, communicates, and assists in monitoring work flow and work tasks necessary to manage fluctuating volumes.Provides feedback to the team to help identify educational needs, and mediation needs by reporting IPOs (issues, problems, and opportunities).Demonstrates competence to perform assigned responsibilities is a manner that meets the population-specific and developmental needs of the members served by the department.Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each member served.Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.Performs other duties as assigned. Requirements:High School DiplomaWork Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:Pharmacy Services Representative (PSR) works under the direction of Clinical Pharmacists to provide pharmacy services with compassion, excellence and efficiency. The PSR is responsible for managing orders received at the CHRISTUS Specialty Pharmacy and serving as a liaison between patient, plan, provider and pharmacy.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Must be 18 years of age or older• Performs data entry and patient benefit eligibility verification• Completes prior authorization requests, submits to insurance, and verifies completion• Coordinates appeals• Acts as a liaison between patients and insurance companies, and facilitates communication between patients and doctors, medical staff and administrative staff.• Answers patient inquiries about billing, procedures, policies and available services• Responsible for incoming and outgoing calls from customers regarding drug delivery, set-up, and all related services• Coordinates financial arrangements and collects co-payments• Must function in strict accordance with written policies and procedures• Ensures safe, appropriate, cost effective drug therapies for patients according to established policies, procedures, and protocols.• Reads, extracts and interprets information in patient medical records accurately. • Detects and reports suspected adverse drug reactions accurately and in a timely manner. • Coordinates pharmacist drug education to patients and their families per institutional protocol. • Participates in the quality improvement activities of the department. • Contributes to the quality and effective operation of the department.• Is punctual and dependable; reports to work as scheduled. Absenteeism and tardiness are within policy guidelines. • Maintains a neat, professional, well-groomed appearance. Wears identification badge.• Performs work within specified timeframes. Adapts positively to frequent interruptions and changes in workload and/or work schedule.• Provides courteous, cooperative and timely service to patients, visitors and staff. • Demonstrates good verbal and written communication.• Works cooperatively with hospital and pharmacy staff. Voices concerns and suggestions to appropriate persons in a positive manner. Fosters a team environment.• Demonstrates sound professional judgment consistent with clinical/academic background.• Maintains strict confidentiality of patients, guests and employee information.• Complies with all requirements related to risk management, safety, security, fire and infection control.• Adheres to hospital and departmental policies and procedures. Complies with all applicable Federal and State laws, rules and regulations. • Works independently with minimal supervision. Organizes and prioritizes work assignments. • Ensures pharmacy services are provided in a timely manner.• Answers the telephone, identifying self and department. Directs calls to appropriate personnel.Requirements:High School diploma or equivalent requiredMinimum 2 years of experience working at a community pharmacy or health plan Experience in third-party billing and benefits investigation required Specialty pharmacy experience preferred Knowledge of QS1 billing software, EPIC EMR, and CoverMyMeds preferred Registered pharmacy technician in the state of practice required Certified pharmacy technician preferredWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:This position is a back up for business office functions, providing work coverage for the various operational work units in the RCBS organization. This includes billing, collections, reimbursement validation, cash posting, mail handling, scanning, sorting, assembly, copying, faxing, and data entry functions. In addition, this position provides training to Associates on RCBS processes as required by the Manager to support new and existing Associates.Responsibilities: Provides back up coverage and support for various positions within RCBS as assigned by the managerProvides coaching and mentoring for associates on transactional processes assigned by the managerAnd all other duties assignedRequirements:HS Diploma or equivalency preferred.Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:The Patient Financial Representative is an entry level position that is responsible for the duties and services that are of a support nature to the RCBS High Performance Work Teams. Ensures that all processes are performed in a timely and efficient manner. Performs assigned duties such as mail handling, scanning, sorting, assembly, copying, faxing and data entry. Although this position is entry level, it is of a developmental nature with expectation of future growth within the RCBS.Responsibilities: Ensures daily productivity standards are met.Performs medical record requests when necessitated by payers. Monitors to ensure receipt of records within established target. Provides management with reports of outstanding requests when targets are not met. Perform support services for departmental Associates such as faxing of documents, copying, printing of forms, data entry and reception relief.Gathers all information needed to ensure payment of the claim.Responsible for requesting, printing and forwarding all required documentation to payers.Retrieve EOB’s as necessary as required.Process handwritten adjustments.Performs mail retrieval, sorting, distribution and inter-facility delivery duties for all RCBS Associates. Performs all scanning related activities.Works collaboratively with team members to assist in keeping workload evenly distributed.Coordinates, communicates and assists in monitoring work flow and work tasks as necessary to manage fluctuating volumes. Provides feedback to team and team lead to help in identifying process educational, and mediation needs through Management By Fact process.Ensures quality standards are met in clerical services performed in accordance with Integrity and Compliance guidelines.And all other duties assigned.Requirements: HS Diploma or equivalency requiredPost HS education preferredWork Type:Per Diem As NeededEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:This position is a backup for business office functions, providing work coverage for the various operational work units in the RCBS organization. This includes billing, collections, reimbursement validation, cash posting, mail handling, scanning, sorting, assembly, copying, faxing, and data entry functions. In addition, this position provides training to Associates on RCBS processes as required by the Manager to support new and existing Associates.Responsibilities:Provides back up coverage and support for various positions within RCBS as assigned by the manager.Provides coaching and mentoring for associates on transactional processes assigned by the manager.And all other duties assigned.Requirements:HS Diploma or equivalency preferred.Work Schedule:TBDWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

DescriptionSummary:Patient Access Representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. Patient Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access has numerous procedural requirements including data elements, insurance verification, authorization for services, and collections for all patient portions including prior balances. Patient Access staff is responsible for the successful financial outcome of all patient services. Patient Access is responsible for ensuring the hospital maintains compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. Patient Access communicates directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, and behavior, good communication skills and effective organizational skills. Patient Access representatives require dependability, flexibility, and teamwork.Responsibilities: Accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.Verifies insurance eligibility and obtains necessary authorizations for services rendered.Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.Performs financial assessment for appropriate program assistance.Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents.Represents the Patient Access department in a professional, courteous manner at ALL times.Required to assist the hospital in the event of an internal or external disaster.Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change.Supports the department in achieving established performance targets.Completes required training as needed and as mandated.Maintains the team discipline of following all elements of established standard processesWorks with HPWT (High Performance Work Teams) to maintain an efficient, clean, and orderly workplace using 5S principles and practices once implemented in the work unit.Coordinates, communicates, and assists in monitoring work flow and work tasks necessary to manage fluctuating volumes.Provides feedback to the team to help identify educational needs, and mediation needs by reporting IPOs (issues, problems, and opportunities).Demonstrates competence to perform assigned responsibilities is a manner that meets the population-specific and developmental needs of the members served by the department. Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each member served. Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.Performs other duties as assigned. Requirements:High School DiplomaWork Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.