• Reviews payer EOB?s but not limited to payment accuracy, patient liability, and appeal grievances.
• Work 60 accounts daily
• Files appeals on denied claims and/or forwards to the Nurse Auditor for review
• Process incoming mail correspondence from payers within 5 business days.
• Follow up with the insurance companies by phone and or web for the status of outstanding claims.

• Follow up with all insurance companies within 30 days of billing if there is no payment on the account.
• Enter detailed notes explaining account activity in the Patient Accounts system

• Respond to patient inquiries regarding the status of the patient?s insurance within 2 business days.

• Forward patient complaints regarding care to your supervisor for entry into the appropriate resolution pathway.

• Accept payments over the phone.
• Research late charges to determine the cause; inform your supervisor if they are a regular occurrence.

Education

Required:

    High School

Licenses & Certifications

Preferred:

    C-Heartsaver

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About CHRISTUS Health

CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.

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