Patient Financial Services Representative Oncology

Banner Health•Loveland, CO

2d•Onsite

About The Position

This position conducts registration, point of service collections and obtains authorizations and forms needed to maximize reimbursement. Document all facets of the registration process and meet accuracy goals as determined by management. Collect payments and meet regular collection targets as determined by management. Demonstrates the ability to collect payments, to resolve customer issues and provide excellent customer service. Perform financial counseling when appropriate. CORE FUNCTIONS 1. 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. 2. 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. 3. May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources. 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). 4. 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. 5. Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Work to meet the patient’s needs in financial services. 6. 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. 7. 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. 8. 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.

Requirements

High school diploma/GED or equivalent working knowledge.
Knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally 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 to effectively interact with a wide range of audiences.
Employees working at Banner Behavioral Health Hospital must possess an Arizona 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.

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

Conduct registration, point of service collections, and obtain authorizations and forms needed to maximize reimbursement.
Document all facets of the registration process and meet accuracy goals.
Collect payments and meet regular collection targets.
Resolve customer issues and provide excellent customer service.
Perform financial counseling when appropriate.
Perform pre-registration/registration processes, verify eligibility and obtain authorizations, submit notifications and verify authorizations for services.
Verify patient demographics and accurately input information into A/D/T system, documenting the account thoroughly.
Obtain federally/state required information and all consents and documentation required by the patient’s insurance plan(s).
Verify and understand insurance benefits, and collect patient responsibility based on estimates.
May provide financial counseling to patients and their families, explain company financial policies, and provide information on available resources.
Assist patients with applying for Medicaid and completing financial assistance programs.
Act as a liaison between the patient, billing department, vendors, physician offices, and payor.
Communicate with physicians, clinical and hospital staff, nursing, and Health Information Management Services to resolve outstanding issues or patient concerns.
Meet monthly individual productivity goals, complete daily assignments/work lists, and keep electronic productivity logs up to date.
Identify opportunities to improve processes and practice good teamwork.
Provide a variety of patient services and financial services tasks, which may include transporting patients, precepting new hires, recapping/posting daily deposits, or other assigned work.
Work independently under regular supervision and follow structured work routines in a fast-paced, multi-task environment with high volume and immediacy needs.
Retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for services provided.