USNLX Diversity Jobs

USNLX Diversity Careers

Job Information

Banner Health Patient Financial Services Representative Ambulatory Billing Office in Phoenix, Arizona

Primary City/State:

Phoenix, Arizona

Department Name:

Amb Billing & Follow Up

Work Shift:

Day

Job Category:

Revenue Cycle

You will work on a Patient Financial Services (PFS) Department responsible for the timely and accurate billing and collections of revenue based on CMS guidelines, payer contracts and federal regulations. You will be assigned to a specific team of 10-15 Patient Financial Services Representatives dedicated to work with specific payor group(s). Our team provides a supportive environment, and you will have many opportunities to grow and advance in your career path. We strive to create an environment that engages employees to produce at the highest level and recognition for their accomplishments. your individual and team work assignments are designed to collectively meet Banner’s goals emphasizing excellent customer service and making a difference in our customer’s lives.

Patient Financial Services (PFS) Representatives are responsible for accurate billing of services rendered, timely and accurate collection of expected reimbursement. These functions are accomplished by review of initial claims to ensure clean claim submissions. Review and follow up on billed claims to investigate reason for payment delays or denials by contacting the payer or researching the payer website. Calling payers to verify receipt of claims, what is needed to resolve unpaid accounts, short paid claims and/or other complex denials. Take incoming calls from patients to assist with resolving their Commercial Insurance questions as well as self-pay balances. Once the payer has satisfied the expected reimbursement any patient responsibility balance is billed to the patient. Clear documentation of all work activity in the Ms4 account to ensure continuity throughout the entire revenue cycle.

As a PFS Representative in the Ambulatory Billing Office you will work on a team of six including one Senior and Working Manager. You will be responsible for working from accounts to work que, as well as researching complex accounts that have billing issues and need account reconciliation. The ideal candidate will have experience in registration, billing process, and denials. Experience with workman's compensation is a plus. This is a very complex position. If you are driven by high volume expectation within reconciliation billing accounts, then this is the job for you.

Schedule: For training the hours are 8AM-4:30PM, but after training the schedule can be modified and is flexible.

This is a remote opportunity. Applicant must reside in Arkansas, Arizona, California, Colorado, Georgia, Florida, Idaho, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Missouri, Nebraska, New York, Nevada, North Dakota, Ohio, Oregon, Pennsylvania, South Carolina, Texas, Utah, Washington, Wisconsin, or Wyoming in order to be considered.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner.

CORE FUNCTIONS

  1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing.

  2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement.

  3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary.

  4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients.

  5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers.

  6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances.

  7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately.

  8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members.

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.

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.

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

DirectEmployers