Occ Health Medical Biller

Banner Health•Mesa, AZ

6d•Onsite

About The Position

Banner Occupational Health is seeking a detail-oriented and customer-focused Patient Financial Services Representative to support billing, collections, payment posting, and accounts receivable operations. This role is responsible for coordinating and facilitating patient billing and collection activities, ensuring accurate reimbursement for services rendered and maintaining compliance with organizational policies and payer requirements. The Patient Financial Services Representative works collaboratively with patients, insurance carriers, providers, and internal departments to resolve billing issues, research claims, post payments, manage accounts receivable activities, and support timely revenue cycle processes. As a Banner Health employee assigned to Phoenix Fire Occupational Health, this position collaborates with patients, insurance carriers, employers, providers, and revenue cycle teams to ensure accurate billing, timely collections, and effective reimbursement for occupational health services. Banner Occupational Health Clinics are medical clinics specializing in worker's compensation injury care, drug testing, alcohol testing, physical examinations, Department of Transportation exams and Occupational Safety and Health Administration (OSHA) mandated exams. Employers and employees alike benefit from reduced absenteeism and turnover, increased productivity, morale and job satisfaction and are less likely to become sick or injured. 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. 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.

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.

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

Coordinate and facilitate patient billing and collection activities for assigned accounts and service lines.
Accurately post insurance and patient payments to patient accounts.
Review, research, and resolve claim denials, payment variances, and reimbursement discrepancies.
Conduct payer claims research and follow-up to ensure timely and accurate reimbursement.
Monitor accounts receivable balances and take appropriate action to resolve outstanding accounts.
Communicate with insurance carriers regarding claim status, payment issues, and account resolution.
Work directly with patients to answer billing inquiries and explain account balances, payment options, and financial responsibilities.
Identify and resolve billing issues to minimize delays in reimbursement.
Ensure claims, adjustments, and account documentation are completed accurately and timely.
Collaborate with clinical, registration, and revenue cycle teams to support accurate billing and reimbursement processes.
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.
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.
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.
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.
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.
Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts.
Reduces Accounts Receivable balances.
Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately.
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.