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.
High school diploma or equivalent; college course work a plus.
Ability to operate telephone, computer, copier, fax machine and 10-key calculator by touch.
Effective oral and written communication skills
Ability to work independently and as part of a team.
Minimum three years of physician billing experience.
Candidate must possess the following:
Extensive knowledge of CPT, HCPCS and ICD-9 coding principles in a multi-specialty physician practice.
Thorough understanding of government and commercial payer guidelines as well as reimbursement methodologies.
Ability to successfully perform all aspects of the physician billing cycle including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal and refund processing.
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.