Patient Financial Service Rep Weight Loss And General Surgery
Location: Gilbert, Arizona
Type: Full Time
Internal Number: R58512
C/P-BGMC Gen Surg-Clinic
Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care - and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you.
Bring your passion for patient care as a Patient Financial Service Rep where you will have the opportunity to work with a motivated team that is comprised of general surgery and bariatric surgery (2 specialties that are not too common within Banner in the east valley). Our surgeons perform state of the art procedures that are well known in the community, and additionally work with the Banner Gateway Weight Loss Center as our surgeons are also part of that program. Our Gilbert location is on campus with the hospital, so we have access to hospital amenities like coffee shop, cafeteria and gift shop. One of our physicians is the only physician in the east valley to perform the "Tif Procedure" to treat acid reflux.
Our Health Clinic is a very busy fast paced working environment where over a couple hundred patients visit us each day. We are looking for someone not only focused on patients as the number one goal but also a team player. A smile and greeting goes a long way in this position as you are a first impression. Having previous experience working in a fast-paced surgical specialty office is a plus. You will gain experience working with general surgery and bariatric surgery. Our other PFS Representatives also have experience with prior authorizations, insurance coordination, and interacting with insurance companies, and working hand in hand with our customer contact center to ensure seamless communication for the patients and their scheduling need!!! You will fit right in! If you are just starting out or have many years' experience our Gen Surg Clinic offers an excellent place to work and empowers our staff to contribute their own talents and skills that will challenge their own growth to make positive changes in patient lives.
Main Responsibilities : Checking patients in, obtaining benefit/insurance information, collecting co-pays/deductibles and chart prep.
Schedule : Mon-Fri 8:00AM - 4:30PM
Location : 1920 N Higley Rd Ste 308 Gilbert, AZ 85234
We are looking for someone with basic front office experience, insurance knowledge and someone who has fantastic customer service skills!
At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Loveland, Colo. and Torrington, Wyo., to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care.
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.
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 BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred.
Additional related education and/or experience preferred
What might draw you to Banner Health? A great health care career, of course—and a great place to live, no matter what stage of life you’re in. With facilities across the West, there is a health care career for everyone, from big city living in the Phoenix area to friendly small towns in the mountains and plains. As one of the largest nonprofit health systems in the country, Banner Health offers both the stability that comes with success and the possibility of exploring new areas of the country. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages:
Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health.
Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible.
The size, success and growth of our system provide you with the stability and options to pursue your desired career path.
Competitive compensation and comprehensive benefits offer you options to complement your unique needs.