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Patient Access Service Representative

Company: Banner Health
Location: Gilbert
Posted on: June 6, 2021

Job Description:

Primary City/State:

Gilbert, Arizona

Department Name:

ER Registration-Hosp

Work Shift:

Night

Job Category:

Revenue Cycle

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.

As an Patient Accounting Service Representative, you will have the opportunity to provide direct support to our patients at our Banner Gateway Medical Center. You will be registering patients, verifying insurance, collecting co-pays and deductibles.

This a great opportunity to join one of the largest healthcare systems in the country. Weekend rotations are required in this role. Enjoy a flat rate $1/hour weekend shift differential and an 18%-night shift differential when applicable.

Hours are Saturday 4:00pm - 4:30am. Then Sunday and Monday 6:30pm - 7:00am

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.

Experience innovative technology and exceptional opportunities for growth and development at Banner Health's state-of-the-art hospital Banner Gateway Medical Center. With comprehensive electronic medical records, physician order entry, digital radiography and proprietary advanced patient monitoring, Banner Gateway provides you with the innovative resources you need to provide your patients with the best care possible. Our commitment to nursing excellence has enabled us to achieve Magnet recognition by the American Nurses Credentialing Center. Located near Phoenix in Gilbert, Ariz., Banner Gateway Medical Center offers 176 private rooms, eight operating suites, a 37-bed emergency department and shares a campus with the Banner MD Anderson Cancer Center. Key specialties include oncology, obstetrics, bariatric surgery, emergency and other services that focus on meeting the changing needs of the dynamic and growing community we serve. About Banner MD Anderson Cancer Center Located in Gilbert, Ariz. (the Phoenix Metro area) on the Banner Gateway Campus, the center provides world-class care for oncology patients - both inpatient and outpatient - and has also brought leading oncology programs to the Banner Gateway campus including Stem Cell Transplantation and comprehensive Head & Neck cancer care. Our capabilities include five linear accelerator vaults, a brachytherapy vault, an advanced diagnostic imaging suite with PET/CT scan, more than 50 infusion bays, a cryopreservation lab and much more. Our inpatient medical oncology unit also incorporates a program that utilizes the electronic surveillance partnership in caring for the patient, where remote nurses have the ability to interact with patients via two way audio-video to assist the bedside nurse with patient care.

POSITION SUMMARY

This position conducts customer service, registration, point of service collections, may validate and/or obtain authorizations from payers in order to maximize reimbursement. Provides a customer-oriented interaction with each patient in order to maximize customer experience. Obtains all required consents for each registration. Document all facets of the registration process, loads correct payer(s) to each account and meet accuracy goals as determined by management. Collect payments and regular collection targets as determined by management. May perform financial counseling when appropriate. Meets productivity targets as determined by management. Demonstrates the ability to resolve customer issues and provide excellent customer service.

CORE FUNCTIONS

  1. Helps provide a positive customer experience by welcoming patient to facility, introducing self, explaining what rep intends to do with patient, thanking them for choosing Banner Health.

  2. Performs pre-registration/registration processes, verifies eligibility and obtains authorizations submits notifications and verifies authorizations for services. Verifies patient's demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents and documentation required by the patient's insurance plan(s). Must be able to consistently meet monthly individual accuracy goal as determine by management.

  3. Verifies and understands insurance benefits, collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned collection attempts may be made at the bedside. Must be able to consistently meet monthly individual collection target as determined by management.

  4. May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources, offers and assists patients with applying for Medicaid. Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program).

  5. Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance and meet payment collection goals, resolve outstanding issues and/or patient concerns and maximize service excellence.

  6. Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Works to meet the patient's needs in financial services.

  7. Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date and inputs information accurately. Identifies opportunities to improve process and practices good teamwork.

  8. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, may precept new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team.

  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. Employees working at Banner Behavioral Health Hospital or 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. Employees working at Banner MD Anderson or BUMC-P Whole Health Counseling must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required

PREFERRED QUALIFICATIONS

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

Additional related education and/or experience preferred.

Keywords: Banner Health, Gilbert , Patient Access Service Representative, Other , Gilbert, Arizona

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