Patient Financial Services Representative Pulmonary Loveland

Banner Health

4d•$18 - $27•Hybrid

About The Position

The Patient Financial Services Representative supports Pulmonary services in a customer-focused and friendly work environment with opportunities for career growth. This role involves direct patient interaction and collaboration with physicians and staff. Responsibilities include checking patients in, verifying and updating demographic information, confirming insurance coverage, collecting payments, scheduling appointments, returning patient calls, and communicating with clinical staff. The position is ideal for someone seeking a challenging role in a positive environment focused on improving patient lives. Banner Medical Group provides primary and specialty care across various settings. With over 1,000 physicians and 3,500 employees, the group is dedicated to its nonprofit mission of delivering excellent patient care. The Patient Financial Services Representative plays a crucial role in coordinating patient flow by managing phone calls, scheduling appointments, registering patients, verifying insurance and authorizations, collecting patient liabilities, and providing financial guidance to maximize reimbursement. This includes accurately posting patient payments and releasing information in compliance with organizational policies.

Requirements

High school diploma/GED or equivalent working knowledge.
One or more years of work experience in patient financial services, financial/collecting services, or the insurance industry.
Ability to manage multiple tasks simultaneously with minimal supervision and work independently.
Strong interpersonal, oral, and written communication skills to effectively interact with diverse audiences.
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software.
Employees in specific Behavioral Health clinical settings serving children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain it throughout employment.
Must sign an Arizona Criminal History Affidavit upon hire.

Nice To Haves

Prior experience with Medical Insurance and payment processing.
Work experience with the Company’s systems and processes.
Previous cash collections experience.
Additional related education and/or experience.

Responsibilities

Performs registration/check-in processes, including data entry, providing patient information and intake forms, obtaining signatures, and generating population health summaries.
Verifies insurance eligibility and benefits, documents information, and assists in obtaining pre-certification, referrals, and authorizations.
Calculates and collects patient liability based on insurance verification, explains financial policies, and offers alternative payment arrangements.
Enters payments and charges, performs daily reconciliation, balances cash drawer, and prepares daily bank deposits.
Schedules office visits and procedures, ensuring scheduling aligns with payor plan provisions to maximize reimbursement. Confirms appointments and ensures patients are prepared.
Demonstrates proactive interpersonal communication skills to address patient concerns via phone, email, and in-person. Optimizes patient flow through effective customer service and communication with internal and external customers, care teams, management, centralized services, and HIMS.
Responds to requests for patient medical records in accordance with company policies, procedures, and state/federal laws.
Provides patient services such as escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, and ordering supplies.
Works independently under supervision, follows structured routines, and manages a fast-paced, multi-task environment with high volume and immediate needs. Requires independent decision-making, sound judgment, and the ability to retain significant amounts of changing payor information.