Description

This position is focused to ensure account resolution and reconciliation of outstanding balances for patient accounts. The position works in a cooperative team environment to provide value to internal and external customers. It focus in collections activities directly with private/government insurance companies.

Key Responsibilities

- Collects and provides patient and payor information to facilitate account resolution.
- Responds to all types of account inquires through written, verbal or electronic correspondence.
- Performs medical records requests when necessitated by payers.
- Gathers all information needed to ensure payment of the claim.
- Responsible for requesting and forwarding all required documentation to payers.
- Demonstrates knowledge of standard bill forms and filing requirements.
- Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines.
- Works payor rejected claims for resubmission




- Appropriately documents patient accounting host system or other systems utilized by the organization in accordance with policy and procedures.
- Provides continuous updates and information to the Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
- Collect balances due from payors ensuring proper reimbursement for all services

General Knowledge/Competencies

- Excellent customer support
- Professional and effective written and verbal English communication required.
- Good communication skills.
- Knowledge of how insurance works (desire not requirement)

Requirements

Education:

- Degree in Finance, Accounting or equivalency
- Advanced English

Experience

- Experience with collections, payment or reimbursement verification and/or refunds.

Add your resume when apply. Thank you!

📌 Patient Financial Representative Jr (Monterrey)
🏢 Christus Excellence And Innovation Center
📍 Monterrey