Patient Financial Representative Senior- onsite

Patient Financial Representative Senior (Onsite)

Sigma Inc. is seeking an experienced Patient Financial Representative Senior to join the revenue cycle team of a large hospital system in San Antonio, TX. This is an on-site, contract-to-hire opportunity offering long-term career potential within a collaborative healthcare environment.

Schedule

• Monday Friday
• 8-hour shifts

Key Responsibilities

As a Patient Financial Representative Senior, you will support the hospital revenue cycle by ensuring accurate billing, collections, cash reconciliation, and account resolution while maintaining compliance with payer and regulatory standards.

Revenue Cycle & Account Resolution

• Resolve and reconcile outstanding patient account balances
• Review and work claim edits and payer rejections for resubmission
• Respond to patient and payer inquiries via phone, written, and electronic correspondence
• Maintain payer-specific billing and follow-up guidelines
• Identify trends impacting reimbursement, denials, and payment delays

Billing & Coding

• Demonstrate strong knowledge of CPT, HCPCS, and ICD-10 coding
• Work inpatient and outpatient claims using UB-04 and CMS-1500 (HCFA 1500) forms
• Understand electronic claims editing and submission processes
• Ensure compliance with payer, government, and organizational regulations

Collections

• Collect balances due from payors to ensure proper reimbursement
• Work daily collector queues and reports
• Identify, document, and route denials for timely resolution
• Resolve underpayments and credit balances within payer timelines

Cash Reconciliation

• Post and reconcile payments accurately and timely
• Research unapplied cash and resolve posting discrepancies
• Perform daily and monthly reconciliation with bank statements
• Process cash corrections and resolve payment inquiries

Communication & Compliance

• Maintain professional written and verbal communication with internal and external stakeholders
• Document all activities accurately within patient accounting systems
• Support departmental quality standards and performance metrics
• Uphold CHRISTUS Health values of dignity, integrity, compassion, excellence, and stewardship

Required Qualifications

• High School Diploma or equivalent (post-secondary education preferred)
• 35 years of experience in:
• Hospital business office or revenue cycle operations
• Billing, collections, and account resolution
• Strong understanding of:
• Inpatient & outpatient billing
• UB-04 and CMS-1500 claim forms
• Insurance and self-pay billing guidelines
• Excellent written and verbal communication skills
• Ability to work independently and in a team-based environment

Preferred Qualifications

• Multi-facility hospital experience
• Insurance company claims experience
• Healthcare billing trade school or college education
• Familiarity with payer regulations and reimbursement methodologies