PFS Representative CBO Billing Cash Posting

Banner HealthPhoenix, AZ
Remote

About The Position

Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained. Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. Our PFS Representative roles vary across the system, accepting payments for patients but also back end payment posting. In this PFS Rep role you will process electronic and manual payment posting to patient’s accounts, as well as working with payers for relevant payment information. Schedule: Monday-Friday, 8hr Location: REMOTE, Banner provides equipment Ideal candidate: 2 years patient financial services or Revenue Cycle experience Ideal candidate will have at least 1 year of previous Payment Posting experience (clearly reflected in attached resume). Please note, this is different from accepting payments. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR PA, SC, TN, TX, UT, VA, WA, WI, WV, WY POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires 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 are required. PREFERRED QUALIFICATIONS Work experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Disabled/Veterans Banner Health supports a drug-free work environment. Privacy Policy This website contains the current Banner Health job openings. Applications submitted on this site will be securely submitted for consideration. Applying via our careers website is the only way to obtain employment with Banner Health. We will never ask you for personal or banking information, or for equipment to be purchased or sent to us as part of the hiring process. Job seekers should only respond to communication from Banner’s email domain, @bannerhealth.com. For questions or to report a scam visit our contact page.

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.

Nice To Haves

  • 2 years patient financial services or Revenue Cycle experience
  • At least 1 year of previous Payment Posting experience (clearly reflected in attached resume).
  • 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

  • Process electronic and manual payment posting to patient’s accounts.
  • Work with payers for relevant payment information.
  • Coordinate and facilitate patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work.
  • Ensure reimbursement for services in a timely and accurate manner.
  • Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity.
  • Coordinate with other staff members and physician office staff as necessary to ensure correct processing.
  • Reconcile, balance and pursue account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement.
  • Research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors.
  • Make appeals and corrections as necessary.
  • Build strong working relationships with assigned business units, hospital departments or provider offices.
  • Identify trends in payment issues and communicate with internal and external customers as appropriate to educate and correct problems.
  • Provide assistance and excellent customer service to internal clients.
  • Respond to incoming calls and make outbound calls as required to resolve billing, payment and accounting issues.
  • Provide assistance and excellent customer service to patients, patient families, providers, and other internal and external customers.
  • Work as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts.
  • Reduce Accounts Receivable balances.
  • Use systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately.
  • Work independently under general supervision, following defined standards and procedures.
  • Use critical thinking skills to solve problems and reconcile accounts in a timely manner.

Benefits

  • Comprehensive benefit package for all benefit-eligible positions.
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