Front Desk Patient Financial Services Representative TOCA Orthopedics

Banner Health • Scottsdale, AZ

1d • Onsite

About The Position

TOCA at Banner Health is at the forefront of the Integrated Service Model, committed to continually improving orthopedic care. TOCA's reputation is built on treating each patient’s specific needs, making it the choice for primary care physicians and performance athletes. We are honored to be the official team physicians and orthopedic surgeons for Arizona State University. As a Front Office Patient Financial Representative, you will join a customer-focused and friendly work environment with career growth opportunities. This role is ideal for individuals starting their careers or those with extensive experience. If you are ready for a challenge, thrive in a positive environment, and want to contribute to improving people's lives, apply now.

Requirements

• 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 Banner Behavioral Health Hospital, BTMC Behavioral, and 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. An Arizona Criminal History Affidavit must be signed upon hire.

Nice To Haves

• Work experience with the Company’s systems and processes is preferred.
• Previous cash collections experience is preferred.
• Additional related education and/or experience preferred.

Responsibilities

• Performs registration/check-in processes, including data entry, providing patient information and intake forms, obtaining necessary signatures, and generating population health summaries.
• Verifies insurance eligibility and benefits for services rendered with payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations.
• Calculates and collects patient liability based on insurance benefits and expected reimbursement. Explains financial policies and available resources for alternative payment arrangements to patients and their families.
• Enters payments/charges for services rendered and performs daily payment/charge reconciliation accurately and in a timely manner. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork for centralized billing.
• Schedules office visits and procedures within the medical practice(s) and external practices as necessary, maximizing reimbursement by scheduling according to payor plan provisions. Confirms patient appointments for the following day and ensures patients are properly prepared for visits.
• Demonstrates proactive interpersonal communication skills when dealing with patient concerns via telephone, email, and in-person. Optimizes patient flow using effective customer service/communication skills with internal and external customers, care teams, management, centralized services, and HIMS.
• Assists in responding to requests for patient medical records in accordance with company policies, procedures, and state and federal laws.
• Provides a variety of patient services to assist in patient flow, including escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, and ordering supplies.
• Works independently under regular supervision and follows structured work routines in a fast-paced, multi-task environment with high volume and immediacy needs. Requires independent decision-making and sound judgment to prioritize work and ensure appropriateness and timeliness of patient care. Requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement. Primary external customers include patients, their families, physician office staff, and third-party payors.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED