TCHP Patient Financial Services Representative Associate - Phys Div Billing - CBO

TCHP Patient Financial Services Representative Associate - Phys Div Billing - CBO - Full Time - Days

Job Description

Provide support for all aspects of the Revenue Cycle billing and collections process, including billing and collections of accounts receivable outstanding balances. Act in a manner that maintains confidentiality and protects patient personal medical and financial information at all times.

• Timely and accurate resolution of billing and reimbursement issues and collection of outstanding balances.
• Work with third‑party payors and intermediaries following standard operating procedures to pursue prompt payment of professional claims for assigned financial classes.
• Meet benchmarks, performance measurements and reporting requirements.
• Work collaboratively with internal and external stakeholders to resolve issues related to assigned workgroup.
• Interface with other areas of the patient financial services team to identify and resolve billing and collections issues, including patient and insurance provider payment posting.
• Perform other job‑related duties and assignments as requested.
• Maintain confidentiality of patient information.

• Education: High school diploma or equivalent required.
• Years of
  
  Experience:
  
  1–3 years (preferred) recent work experience interpreting payer contracts, professional and/or hospital reimbursement and billing compliance, developing and maintaining third‑party payer relationships, and familiarity with Patient Financial Services processes for claim generation and submission, billing edits, payer processing requirements, and claim/medical records audit procedures.
• Required Skills and Knowledge:
  • Windows‑based PC skills and computer proficiency.
  • Basic EMR/billing system knowledge.
  • Basic claims clearinghouse system knowledge.
  • Familiarity with medical terminology, ICD‑10 and CPT/HCPCS coding systems preferred.

• Entry level

• Full‑time

• Health Care Provider

• Hospitals and Health Care

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