Patient Financial Services Representative Family Medicine

Primary City/State:Tucson, ArizonaDepartment Name:PBC-FP Alvernon-ClinicWork Shift:DayJob Category:Revenue CycleHealth care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care – and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you.Our Banner family offers more than just a job, they offer opportunity. Our friendly staff practice our mission and values daily. Our clinic has a great culture of safety and diversity. PFS members are at the beginning of the patient experience and will create the tone for the outcome of their visit which then filters to the MA’s who also provide the patients with a great Sophia experience. Our ideal candidate is a positive, motivated, high energy personality, that can express empathy and display sincere patient advocacy while interacting. Candidates are outgoing with the ability to communicate and have fun on the job. There are times we should be serious and focused and there are times when we can all take a deep breath and laugh at the amazing job we did as a team to get through the day. Candidate is flexible and a team player. This person is approachable and always willing to help answer or get the answer to patient questions. We are a team that prides ourselves in calling each other work family and our patients are considered extended family members.Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.University Medical Center South PBCs Banner - University Medical Center South is a comprehensive medical center that includes an Emergency department, a state-designated trauma center and a Behavioral Health Pavilion. We are an Arizona Department of Health Services-accredited Cardiac Receiving Center and a Nurses Improving Care for Health system Elders-designated senior-friendly hospital. The hospital is staffed by physicians who are full-time faculty of the University of Arizona College of Medicine - Tucson and is managed by Banner Health under an operating agreement with Pima County. Our specialty services include inpatient and outpatient behavioral health, treatment and education for diabetes, innovative geriatrics care and comprehensive orthopedics.POSITION SUMMARYThis position coordinates a smooth patient flow process by answering phones, scheduling patient appointments, providing registration of patient and insurance information, obtaining required signatures following established processes, procedures and standards. This position also verifies insurance coverage, validates referrals and authorizations, collects patient liability and provides financial guidance to patients to maximize medical services reimbursement efforts. This also includes accurately posting patients at the point of service and releasing information in accordance with organizational and compliance policies and guidelines.CORE FUNCTIONSPerforms registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary.

Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations

Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families.

Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes.

Schedules office visits and procedures within the medical practice(s) and external practices as necessary. Maximizes reimbursement by scheduling patients in accordance with payor plan provisions. Confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits.

Demonstrates proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations. Optimizes patient flow by using effective customer service/communication skills by communicating to internal and external customers, care team, management, centralized services and HIMS.

Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.

Provides a variety of patient services to assist in patient flow including but not limited to escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc.

Works independently under regular supervision and follows structured work routines. Works 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. This position 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.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.NOTE: The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.SUPERVISORY RESPONSIBILITIESDIRECTLY REPORTINGNoneMATRIX OR INDIRECT REPORTINGNoneTYPE OF SUPERVISORY RESPONSIBILITIESN/ABanner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner.PHYSICAL DEMANDS/ENVIRONMENT FACTORSOE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager)Requires extensive sitting with periodic standing and walking.May be required to lift up to 20 pounds.Requires significant use of personal computer, phone and general office equipment.Needs adequate visual acuity, ability to grasp and handle objects.Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone.May require off-site travelMay require off-site travelMINIMUM QUALIFICATIONSHigh 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.Employees working at 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.PREFERRED QUALIFICATIONSWork experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred.Additional related education and/or experience preferredDATE APPROVED 04/04/2021Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability.