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