Prepares inpatient and outpatient claims either for electronic mail or hard copy and forwards to appropriate third party payers. Analyzes and reviews claims to ensure that payer specific billing requirements are met. Follows-up on billing, determines and applies appropriate adjustments, answers inquiries and updates accounts as necessary.
Requirements POSITION QUALIFICATIONSA. Education/Skills
HS Diploma or equivalency required
Post HS education preferred
Minimum of 1 year cash posting or banking experience
Minimum one year experience interpreting various payer explanation of benefits (EOB's) and 835 payment files
Experience working within a multi-facility hospital business office environment preferred.
General hospital A/R accounts knowledge is required.
College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
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.