UNKNOWN

FEED

Qualifications: High School Diploma / GED Prefer college hours or Associates Degree Preferably bilingual in English and Spanish (reading, writing, and speaking), but not necessary . Occasionally screen incoming phone calls and emails and provide information and assistance to callers, independently when possible, and in a timely manner.

<h5>Job Title </h5>Job Summary: The employee is responsible for maintaining data entry and the TAG database for third-party vendors. This entails entry, editing, and troubleshooting of HTML code and graphics. The employee will assist the DMAC TAG/Training Coordinator in providing support to specialists and customers. Additionally, the employee will proofread texts and take part in the TAG review and approval process for items and passages. Occasionally, the employee will undertake other typical office duties to support the efficiency of the DMAC team. Qualifications: High School Diploma / GED Prefer college hours or Associates Degree Preferably bilingual in English and Spanish (reading, writing, and speaking), but not necessary Experience: 5 years of related experience Must be computer literate Knowledge / Skills: Ability to build, develop, and inspire teams Task execution (result-oriented) Build and cultivate relationships Clear and effective communication Ability to prioritize, organize, and manage multiple tasks Strong attention to detail Strong organizational skills Demonstrate proficiency in the use of computers and standard applications Graphics skills preferred Major Responsibilities and Duties: 1. Assist the DMAC TAG/Training Coordinator with data entry and maintenance of the TAG database for third-party vendors. 2. Enter, edit, and troubleshoot HTML code and graphics within the DMAC TAG software. 3. Participate in the item/passage approval process. 4. Periodically assist in relieving assigned professional staff of clerical work and/or minor administrative and business detail. 5. Occasionally screen incoming phone calls and emails and provide information and assistance to callers, independently when possible, and in a timely manner. 6. Convey courtesy and professionalism to coworkers and customers. 7. Maintain a neat and professional office appearance at all times. 8. Adhere to Region 7 policies. 9. Periodically assist with ESC reception duties 10. Regular and reliable attendance. 11. Other duties as assigned.

Region 7 Education Service Center

DMAC Administrative Assistant II

Administrative Skills

Communication Skills

Computer Skills

Data Entry

Database Administration

Detail Oriented

Editing

English Language

Establish Priorities

Graphics

HTML (HyperText Markup Language)

High School Diploma

Identify Issues

Multilingual

Multitasking

Organizational Skills

Proofreading

Spanish Language

Telephone Skills

Time Management

IRecruitee

ADAPTED_NOW

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. 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.

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: <ul><li> Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. </li><li> Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics. </li><li> Ensures PFS departmental quality and productivity standards are met. </li><li> Collects and provides patient and payor information to facilitate account resolution. </li><li> 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. </li><li> Responds to all types of account inquires through written, verbal, or electronic correspondence. </li><li> 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. </li><li> Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution. </li><li> Meets or exceeds customer expectations and requirements, and gains customer trust and respect. </li><li> Compliant with all CHRISTUS Health, payer, and government regulations. </li><li> Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines. </li><li> Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures. </li><li> 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. </li><li> Professional and effective written and verbal communication required. </li></ul><ul><li>Billing </li><li> Review and work on claim edits. </li><li> Works payor rejected claims for resubmission. </li><li> Works reports and billing requests. </li><li> Demonstrates strong knowledge of standard bill forms and filing requirements. </li><li> Exhibits and understanding of electronic claims editing and submission capabilities. </li><li> Correct claims in RTP status in the designated claim system per Medicare guidelines. </li><li> Maintains an active knowledge of all governmental agency requirements and updates. </li></ul><ul><li>Collections </li><li> Collect balances due from payors ensuring proper reimbursement for all services. </li><li> Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround. </li><li> Maintain an active knowledge of all governmental agency requirements and updates. </li><li> Works collector queue daily utilizing appropriate collection system and reports. </li><li> Demonstrates knowledge of standard bill forms and filing requirements. </li><li> Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines. </li><li> Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines. </li><li> Identify and communicate trends impacting account resolution. </li><li> Corrects claims in RTP status in the designated claim system per Medicare guidelines. </li><li> Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed. </li><li> Working knowledge of the CMS 838 credit balance report. </li></ul><ul><li>Vendor Coordinator </li><li> 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. </li><li> Manages account transfers between CHRISTUS Health and the various contracted vendors. </li><li> 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. </li><li> Ensures accounts deemed as closed or uncollectible by the vendors are properly reflected in applicable AR systems. </li><li> Maintains department reports measuring agency performance, which includes account placements, collections, returns, and performance metrics. </li><li> 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. </li><li> 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. </li><li> Recalls accounts incorrectly placed and/or as requested by Revenue Cycle Managers with the external vendor and returns accounts to open receivables as appropriate. </li><li> Creates tools, reports, or documentation that enables Revenue Cycle Leadership to understand, manage, and measure their vendor's performance and to prioritize important relationships. </li><li> Performs account reconciliation between CHRISTUS Health system and vendor system.</li></ul>Job Requirements: Education/Skills<ul><li> HS Diploma or equivalent years of experience required. </li><li> Post HS education preferred. </li></ul>Experience<ul><li> 1-3 years of experience preferred. </li><li> Experience working within a multi-facility hospital business office environment preferred. </li><li> College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience. </li><li> Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred. </li><li> Experience with Medicare & Medicaid billing processes and regulations preferred. </li><li> Understanding of Medicare language. </li><li> Knowledge in locating and referencing CMS and/or Medicare Regulations preferred. </li></ul>Licenses, Registrations, or Certifications<ul><li> None required.</li></ul> Work Schedule: 5 Days - 8 HoursWork Type: Full Time

In 1999, two historic Catholic charities became one, forming CHRISTUS Health and creating a unique purpose in the modern health care market - to take better care of people. To extend the healing ministry of Jesus Christ, the mission that the Sisters of Charity Health Care system and Incarnate Word Health system shared for more than a century, is now also the mission of CHRISTUS Health. Ranked among the top 10 Catholic health systems in the United States by size, the CHRISTUS Health system includes more than 40 hospitals and facilities in seven U.S. states, Chile and six states in Mexico, with assets of more than $4.6 billion. Whether seeking care in Alexandria Louisiana, or Coahuila, Mexico, patients discover that the healing spirit is alive at CHRISTUS Health.

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DMAC Administrative Assistant II Region 7 Education Service Center

Patient Financial Specialist - Patient Financial Services CHRISTUS Health

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