**Primary City/State:**
Phoenix, Arizona
**Department Name:**
Phx Integrated Surg Res-Clinic
**Work Shift:**
Day
**Job Category:**
Revenue Cycle
The academic medicine difference. At the center of Banner – University Medicine is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today.
Whether it’s a second opinion or a life-saving procedure, the specialists at the Banner – University Medicine General Surgery Center offer seamless collaboration between doctors and whole-scale expertise when it comes to surgical care in the greater Phoenix and Arizona areas. And because we're located on campus at Banner University Medical Center Phoenix, our providers have access to some of the newest medical technologies and most advanced treatment techniques available.
As a **Sr** **Patient Financial Service Representative** , you will conduct registration and obtain financial reimbursement for all patients accessing service at medical facilities. Review all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance; resolve issues as they arise to promote point of service decisions. Perform financial counseling when appropriate. Explain and obtain signatures on hospital legal forms i.e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy. Collect and release patient valuables in accordance with Administrative Policies.
**The schedule is Monday-Friday from 8:30AM-5:00PM. We are striving to become #1 in General Surgery Banner wide and we are adding the best employees to help us maintain that goal, As a Senior PFS incentives are available quarterly, You will have the opportunity to get certifications in Revenue Cycle to be able to climb the Rev Cycle ladder.**
**Banner Health has been recognized by Becker’s Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweek’s list of America’s Greatest Workplaces 2023 for Diversity.**
**These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement.**
University Medical Center Phoenix PBCs Banner - University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, a number of unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics, and with a new $400 million campus investment, a new patient tower and 2 new clinic buildings will be built.
POSITION SUMMARY
This position provides leadership for an admitting/registration team. Conducts registration and obtains financial reimbursement for all patients accessing service at medical facilities. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance; resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on hospital legal forms i.e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy. Collects and releases patient valuables in accordance with Administrative Policies.
CORE FUNCTIONS
1. Serve as an example to peers for both behaviors and performance of job functions. Provide leadership and training to Patient Financial Services Representatives, and act as a knowledge resource for internal customers. Serve as a primary resource in complex and/or sensitive cases. Oversees patient flow during the shift and assigns job duties to staff to ensure patient flow is maintained at an optimal level. Resolves employee/patient issues that arise during shift and communicates issues to supervisor for follow up. Trains new hires and/or internal transfers thoroughly and provide on-going guidance to ensure their success.
2. 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.
3. Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations.
4. 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.
5. 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.
6. 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.
7. 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.
8. Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
9. Works independently under general supervision, leads 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 two or more years of work experience. Requires knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. 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.
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.
PREFERRED QUALIFICATIONS
Work experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred. May have related experience with financial institution or background.
Additional related education and/or experience preferred.
EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)
Our organization supports a drug-free work environment.
Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability