Primary City/State:
Phoenix, Arizona

Department Name:

Work Shift:
Day

Job Category:
Revenue Cycle

At Banner University Medical Group (BUMG) - Phoenix, we're creating a world class medical organization that brings together a leadership team committed to a physician-focused structure, while navigating the challenges of moving from a volume-based to a value-based health care system.

As a Patient Financial Services Representative on this team, you will be an integral part of the patient's Banner experience and first impression at our clinics. In this role, you will be answering phones, greeting patients when they arrive, checking patients in, verifying insurance information and authorization requirements, and processing patient referrals with excellent customer service and communication skills. Previous experience in a busy healthcare/medical office environment is preferred.

Some of the BUMG-Phoenix clinics currently hiring for qualified PFS Reps:

Internal Medicine Clinic

Family Medicine Clinic

Advanced Liver Disease Clinic

Orthopedic & Sport Medicine Institute

Other clinics in the BUMG-Phoenix family include (but are not limited to):

Advanced Heart Failure Clinic, Women's Institute, Neuroscience Institute, Wound Care Clinic, Bariatric Clinic, Heart Institute, Digestive Health, Toxicology, Internal Medicine, Behavioral Health, Infectious Disease, Lung Institute, Rheumatology, Endoscopy, Musculoskeletal, Concussion Clinic, Integrated Surgery, Urology, Oral Maxillofacial surgery, and Trauma Services.

These clinics may have openings that you could be considered for in the near future.

All of these clinics are located within walking distance to the Banner University Medical Center in Phoenix (located near 12th and McDowell).

While the start and end times can vary slightly, most of the shifts are full time (40 hours/week), day shift positions: Monday-Friday 8A-5P being the most common.

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

POSITION SUMMARY
This position coordinates a smooth patient flow process by answering phones, scheduling patient appointments, providing registration of patient and insurance information, obtaining required signatures following established processes, procedures and standards. This position also verifies insurance coverage, validates referrals and authorizations, collects patient liability and provides financial guidance to patients to maximize medical services reimbursement efforts. This also includes accurately posting patients at the point of service and releasing information in accordance with organizational and compliance policies and guidelines.

CORE FUNCTIONS
1. Performs registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary.

2. Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations

3. Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families.

4. Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes.

5. Schedules office visits and procedures within the medical practice(s) and external practices as necessary. Maximizes reimbursement by scheduling patients in accordance with payor plan provisions. Confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits.

6. Demonstrates proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations. Optimizes patient flow by using effective customer service/communication skills by communicating to internal and external customers, care team, management, centralized services and HIMS.

7. Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.

8. Provides a variety of patient services to assist in patient flow including but not limited to escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc.

9. Works independently under regular supervision and follows structured work routines. Works in a fast paced, multi-task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient's care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. Primary external customers include patients and their families, physician office staff and third party payors.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.

Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. Employees working at the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

PREFERRED QUALIFICATIONS

Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred.

Additional related education and/or experience preferred.