Top 15 Claims specialist Jobs in Longview, Tx

Patient Financial Specialist - Financial Services
Christus Health —Longview, TX
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
5d
HCC Coding Specialist
Prime Care Managers —Longview, TX
- Mid-level
Workers' Compensation Specialist II
AAON —Longview, TX
- Extended hours
- Spanish
- Computer literacy
- English
Acquisition Specialist - State Farm Agent Team Member
Lori Ivey - State Farm Agent —Longview, TX
- $50,000 - $90,000 a year
- Full-time
- Office
- Business development
- Communication skills
- Health insurance
- Paid time off
Quick Apply
10d
Lead Event Specialist Part Time
Product Connections —Longview, TX
- $15.50 an hour
- Part-time
- Serving
- Computer literacy
- Mid-level
Quick Apply
Licensed Professional Counselor (LPC)
Oak Bridge Counseling PLLC —Longview, TX
- $70 - $150 an hour
- Part-time
- Hybrid work
- Private practice
- LPC
- Mid-level
- Flexible schedule
Quick Apply
4d

Discover related jobs

Based on your search for claims specialist jobs.

Physician (Psychiatrist)- Recruitment/Relocation Incentive/EDRP Authorized
US Veterans Health Administration —Tyler, TX
(2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two…
$215,000 - $280,000 a year

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Medical AR Specialist
Columbus Oncology & Hematology —Dublin, OH
Identify, review, research, and resolve credit balances ensuring the correct disposition of funds. Proven experience in submitting tiered appeals using precise…
Quick Apply
Employee Relations Specialist
Woda Cooper —Columbus, OH
Bachelor’s degree in Human Resources, Labor Relations, Business, Accounting, or related field required. Unemployment: Responds to separation requests; tracks…
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for claims specialist in longview, tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims specialist jobs near longview, tx

Marketing Associate jobs in Longview, TX

Financial Specialist jobs in Tuscaloosa, AL

Financial Specialist jobs in Orlando, FL

Lincoln Financial Field jobs in Philadelphia, PA

Benefits Specialist jobs in Boston, MA

Financial Specialist jobs in Alameda, CA

Financial Specialist jobs in Portage, MI

Entry Level Financial Analyst jobs in Texas

First Year Associate Attorney jobs in New York, NY

Retail Sales Associate jobs in St. Louis, MO

Marketing Associate jobs in Dekalb, IL

Marketing jobs in Saint Cloud, MN

Marketing Associate jobs in North Carolina

Marketing Associate jobs in Spokane, WA

Marketing Associate jobs in Albany, NY

Compensation Specialist jobs in Daly City, CA

Customer Support Specialist jobs in Houston, TX

Compensation Specialist jobs in North Carolina

Medical Records Specialist jobs in Seattle, WA

Compensation Specialist jobs in Portsmouth, NH

Patient Financial Specialist - Financial Services

Christus Health -
Longview, TX

Apply Now

Job Details

Full-time
5 days ago

Qualifications

Customer communication

Full Job Description

Description

Summary:

The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of these positions is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence and Stewardship.

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
Ensures PFS departmental quality and productivity standards are met.
Collects and provides patient and payor information to facilitate account resolution.
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission. Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission.
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 the 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.
Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
Professional and effective written and verbal communication required.

Billing
Review and work on claim edits.
Works payor rejected claims for resubmission.
Works reports and billing requests.
Demonstrates strong knowledge of standard bill forms and filing requirements.
Exhibits and understanding of electronic claims editing and submission capabilities.
Correct claims in RTP status in the designated claim system per Medicare guidelines.
Maintains an active knowledge of all governmental agency requirements and updates.

Collections
Collect balances due from payors ensuring proper reimbursement for all services.
Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
Maintain an active knowledge of all governmental agency requirements and updates.
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.
Corrects claims in RTP status in the designated claim system per Medicare guidelines.
Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed.
Working knowledge of the CMS 838 credit balance report.

Vendor Coordinator
Acts as liaison between external vendors and Revenue Cycle departments to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor.
Manages account transfers between CHRISTUS Health and the various contracted vendors.
Coordinates with Revenue Cycle Managers (Collections, Billing, Cash Applications, etc.) to review of selected accounts prior to transfer and placement with an external third party.
Ensures accounts deemed as closed or uncollectible by the vendors are properly reflected in applicable AR systems.
Maintains department reports measuring agency performance, which includes account placements, collections, returns, and performance metrics.
Advises vendors of CHRISTUS Health billing and collection procedures and ensures accounts identified with third-party coverage are properly billed by the entities as requested by the vendor.
Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems.
Recalls accounts incorrectly placed and/or as requested by Revenue Cycle Managers with the external vendor and returns accounts to open receivables as appropriate.
Creates tools, reports, or documentation that enables Revenue Cycle Leadership to understand, manage, and measure their vendor's performance and to prioritize important relationships.
Performs account reconciliation between CHRISTUS Health system and vendor system.

Job Requirements:

Education/Skills

HS Diploma or equivalent years of experience required.
Post HS education preferred.

Experience

1-3 years of experience preferred.
Experience working within a multi-facility hospital business office environment preferred.
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience.
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
Experience with Medicare & Medicaid billing processes and regulations preferred.
Understanding of Medicare language.
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.

Licenses, Registrations, or Certifications

None required.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Part Time

Apply Now

Refine Your Search

claims specialist jobs in longview, tx

Patient Financial Specialist - Financial Services

HCC Coding Specialist

Workers' Compensation Specialist II

Acquisition Specialist - State Farm Agent Team Member

Lead Event Specialist Part Time

Licensed Professional Counselor (LPC)

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for claims specialist in longview, tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected