Patient Financial Services Representative

Banner Health•Buckeye, AZ
•Onsite

About The Position

The Patient Financial Services Representative coordinates smooth patient flow and contributes to the patient experience by providing customer service and patient care. The role includes answering phones, scheduling appointments, registering patients and insurance information, obtaining required signatures, and following established processes and standards. It also verifies insurance coverage, validates referrals and authorizations, collects patient liability, and provides financial guidance to support reimbursement. The representative accurately posts patients at the point of service and releases information according to organizational and compliance policies and guidelines. The position works independently under regular supervision in a fast-paced, high-volume, multitasking environment. It requires sound judgment to prioritize work and ensure patient care is appropriate and timely, as well as the ability to retain changing payor information. External customers include patients and their families, physician office staff, and third-party payors. The role is based at 20751 W Market St, Suite 100, Buckeye, Arizona 85396. The schedule is Monday, Tuesday, Wednesday, and Friday, 8:30 a.m.–5 p.m., and Thursday, 10:30 a.m.–7 p.m.

Requirements

  • High school diploma, GED, or equivalent working knowledge.
  • Knowledge of patient financial services, financial or collecting services, or insurance-industry processes, normally acquired through one or more years of work experience.
  • Ability to manage multiple tasks simultaneously with minimal supervision and work independently.
  • Strong interpersonal, oral, and written communication skills to interact effectively with a wide range of audiences.
  • Strong knowledge of common office software, including word processing, spreadsheet, and database software.
  • For employees working at the specified Banner behavioral health facilities or in a BUMG, BUMCT, or BUMCS behavioral health clinical setting serving children: Arizona Fingerprint Clearance Card at hire and maintained throughout employment, and an Arizona Criminal History Affidavit signed upon hire.

Nice To Haves

  • Experience with the company's systems and processes.
  • Previous cash collections experience.
  • Additional related education and/or experience.

Responsibilities

  • Perform patient registration and check-in, including data entry, providing information and intake forms, obtaining signatures, and generating population health summaries.
  • Verify insurance eligibility and benefits with payors, document verification, and assist with obtaining or validating pre-certifications, referrals, and authorizations.
  • Calculate and collect patient liability based on insurance verification and expected reimbursement; explain financial policies and available alternative payment arrangements to patients and families.
  • Enter payments and charges for services and complete timely, accurate daily reconciliation.
  • Balance the cash drawer at the beginning and end of the day and prepare the daily bank deposit and required paperwork for centralized billing.
  • Schedule office visits and procedures within the medical practice and external practices as needed, taking payor plan provisions into account to maximize reimbursement.
  • Confirm next-day appointments as needed and ensure patients are prepared for visits.
  • Address patient concerns by phone, email, and in person, and communicate effectively with internal and external customers, the care team, management, centralized services, and HIMS.
  • Respond to requests for patient medical records in accordance with company procedures and state and federal laws.
  • Support patient flow through tasks such as escorting patients, taking vitals and patient history, assisting with patient treatment, distributing mail and fax information, and ordering supplies.
  • Prioritize work and use independent decision-making and sound judgment to support appropriate and timely patient care.
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