Patient Financial Services Representative Physician Practice

Banner Health • Loveland, CO

1d • Onsite

About The Position

Banner Health is committed to pay equity and transparency, offering a compensation range based on relevant experience, education, certifications, skills, and geographic location. The organization is a certified Great Place To Work® and is actively seeking professionals to enhance its healthcare services. This role, a Front Desk Representative (Patient Financial Services), provides a customer-focused and friendly work environment with opportunities for career growth. The position involves direct interaction with patients, physicians, and staff. Banner Health is one of the largest, nonprofit health care systems in the country, providing hospital services, primary care, research, labs, and physician practices. The organization's skilled professionals utilize the latest technology to improve healthcare experiences. This position coordinates a smooth patient flow process by managing phone calls, scheduling appointments, registering patients, collecting insurance information, and obtaining necessary signatures. It also involves verifying insurance coverage, validating referrals and authorizations, collecting patient liabilities, and offering financial guidance to maximize medical services reimbursement. Accurate posting of patient payments and information release according to organizational policies are also key aspects.

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.
• Strong knowledge in the use of common office software, word processing, spreadsheet, and database software.
• 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 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 benefit verification 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 in a timely and accurate manner; balances cash drawer daily and prepares bank deposits for centralized billing.
• Schedules office visits and procedures within medical practices and external practices as needed, maximizing reimbursement by scheduling according to payor plan provisions; confirms patient appointments and ensures patients are properly prepared.
• Demonstrates proactive interpersonal communication skills when addressing patient concerns via telephone, email, and in-person; optimizes patient flow through effective customer service and communication with internal and external customers, care team, management, centralized services, and HIMS.
• Assists in responding to requests for patient medical records in compliance with company policies, state, and federal laws.
• Provides various patient services to aid 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, following structured work routines 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 appropriate and timely patient care. This role requires the ability to retain large amounts of changing payor information/knowledge crucial for reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees