PFS Representative PBM

Banner Health • Phoenix, AZ

71d • $18 - $27 • Remote

About The Position

The Patient Financial Services Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post care. Working with the Insurance companies on behalf of the patient to assist with obtaining payments for hospital bills for our facilities. This involves researching and holding payers accountable to pay the expected rates according to the contracts in place with Banner Health within the allowed timeframes. This role provides an immediate sense of accomplishment when resolving outstanding issues with these insurance payers and allows growth throughout the collections/Accounts receivable area of expertise. 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.

Requirements

• Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing.
• Intermediate to Advanced skill level in Microsoft Excel.
• High school diploma/GED or equivalent working knowledge.
• Knowledge of patient financial services, financial, collecting services or insurance industry processes.
• Strong interpersonal, oral, and written communication skills.

Nice To Haves

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

Responsibilities

• Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner.
• 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.
• Research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors.
• Build strong working relationships with assigned business units, hospital departments or provider offices.
• Respond to incoming calls and make outbound calls as required to resolve billing, payment and accounting issues.
• Work as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts.
• 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.

Benefits

• Great Place To Work Certification.
• Investment in workplace excellence and team member satisfaction.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees