Patient Financial Services Representative Tucson Sleep Clinic Per Diem

Banner Health•Mesa, AZ

1d•Onsite

About The Position

This position as a Patient Financial Services Representative in our Sleep Clinic will be responsible for assisting with front office tasks such as checking in patients, verifying insurance, and collecting payments. Additionally, this role may assist back office schedulers with medical records requests, answering calls, and scheduling appointments. The position conducts registration, point of service collections, and obtains authorizations and forms needed to maximize reimbursement. It involves documenting all facets of the registration process to meet accuracy goals and collecting payments to meet regular collection targets. The representative must demonstrate the ability to collect payments, resolve customer issues, and provide excellent customer service, performing financial counseling when appropriate. This role works independently under regular supervision 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. It 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.
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.
Previous cash collections experience.
Additional related education and/or experience.

Responsibilities

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).
Collects patient responsibility based on estimates at the time of service or during the pre-registration process; collection attempts may be made at the bedside as assigned.
May provide financial counseling to patients and their families, explaining company financial policies and providing information as to available resources.
Assists patients with applying for Medicaid and completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program).
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.
Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns and meet the patient’s needs in financial services.
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.
Provides a variety of patient services and financial services tasks.
May be assigned functions such as transporting patients, precepting new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team.
Assisting with front office tasks - checking in patients, verifying insurance, collecting payments.
Assisting back office schedulers with medical records requests, answering calls and scheduling appointments.