Front Office PFS Representative

Banner Health•Payson, UT

12d•Onsite

About The Position

As a Front Office/PFS Representative, you are the first point of contact for patients and visitors at the front desk. You will work collaboratively with a dedicated group of healthcare professionals to ensure patients have a positive experience. This role is ideal for individuals looking to apply their customer service skills and make patients and visitors feel welcomed. It's a great opportunity for those starting their careers or with extensive experience. This position coordinates a smooth patient flow process by answering phones, scheduling appointments, registering patients, providing insurance information, obtaining signatures, verifying insurance coverage, validating referrals and authorizations, collecting patient liability, and offering financial guidance to maximize reimbursement. It also involves accurately posting patient services at the point of service and releasing information in compliance with organizational and regulatory policies.

Requirements

High school diploma/GED or equivalent working knowledge.
Knowledge of patient financial services, financial, collecting services, or insurance industry experience processes, typically acquired over one or more years of work experience.
Ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
Strong interpersonal, oral, and written communication skills for effective interaction with diverse audiences.
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software.
Employees in specific Behavioral Health clinical settings must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain it.
An Arizona Criminal History Affidavit must be signed upon hire.

Nice To Haves

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

Responsibilities

Performs registration/check-in processes, including data entry, providing patients with information and intake forms, obtaining signatures, and generating population health summaries.
Verifies insurance eligibility and benefits, documents information, and assists in obtaining or validating pre-certifications, referrals, and authorizations.
Calculates and collects patient liability based on insurance benefits, explains financial policies, and provides information on alternative payment arrangements.
Enters payments and charges, performs daily reconciliation, balances the cash drawer, and prepares daily bank deposits.
Schedules office visits and procedures, maximizing reimbursement by scheduling according to payor plan provisions, and confirms appointments.
Demonstrates proactive interpersonal communication skills to address patient concerns via phone, email, and in-person interactions.
Optimizes patient flow using effective customer service and 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 policies and laws.
Provides patient services to assist with patient flow, including escorting patients, taking vitals and patient history, assisting in treatment, distributing mail and faxes, and ordering supplies.
Works independently under supervision, follows structured routines, and operates in a fast-paced, multi-task environment requiring independent decision-making and sound judgment.
Retains large amounts of changing payor information and knowledge crucial for reimbursement.