Senior Patient Financial Services Representative - Medicare and Medicare Advantage
Company: Banner Health
Location: Mesa
Posted on: May 17, 2022
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Job Description:
Primary City/State:Mesa, ArizonaDepartment Name: Acute Billing &
Follow Up-CorpWork Shift: DayJob Category:Revenue CycleA rewarding
career that fits your life. Those who have joined the Banner
mission come from all walks of life, united by the common goal:
Make health care easier, so life can be better. If changing health
care for the better sounds like something you want to be part of,
apply today.You will work on a Patient Financial Services (PFS)
Department responsible for the timely and accurate billing and
collections of revenue based on CMS guidelines, payer contracts and
federal regulations. You will be assigned to a specific team of
10-15 Patient Financial Services Representatives dedicated to work
with specific payor group(s). Our team provides a supportive
environment and you will have many opportunities to grow and
advance in your career path. We strive to create an environment
that engages employees to produce at the highest level and
recognition for their accomplishments. your individual and team
work assignments are designed to collectively meet Banner's goals
emphasizing excellent customer service and making a difference in
our customer's lives. - -As a Central Business Office Patient
Financial Services Senior Representative, you will not only work as
an individual contributor to reduce accounts receivable balances
ensuring reimbursement of services; You will also serve as
additional support providing employee support, mentoring,
responding to escalated calls with Patient Financial Services
Representatives and providing additional reporting requests as
needed.Within Banner Health Corporate, you will have the
opportunity to apply your unique experience and expertise in
support of a nationally-recognized healthcare leader. We offer
stimulating and rewarding careers in a wide array of disciplines.
Whether your background is in Human Resources, Finance, Information
Technology, Legal, Managed Care Programs or Public Relations,
you'll find many options for contributing to our award-winning
patient care.POSITION SUMMARYThis position coordinates and
facilitates patient billing and collection activities, following
patient accounts through the billing process to the payor, working
with the payor through claims processing, ensuring reimbursement to
the facility. Provides leadership to the patient financial services
team, participating in the selection and training of staff members.
This position serves as a primary resource in complex and/or
sensitive cases and may be assigned to work in any position in the
department based on the departmental need.CORE FUNCTIONS1. Provides
leadership and training to Patient Financial Services
Representatives. Provides leadership for the team by successfully
leading special projects, training staff, providing suggestions to
improve processes and serving as a resource for complex and
sensitive accounts.2. As assigned, processes 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.3. 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.4. As assigned, researches
payments, denials and/or accounts to determine short/over payments,
contract discrepancies, incorrect financial classes,
internal/external errors. Makes appeals and corrections as
necessary.5. 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.6. Responds to incoming calls and makes
outbound calls as required to resolve billing and payment issues.
Provides assistance and excellent customer service to patients,
patient families, providers, and other internal and external
customers.7. Reduces Accounts Receivable balances. Works as a
member of the patient financial services team to achieve goals in
days and dollars of outstanding accounts.8. Uses systems to provide
statistical data, prepare issues list(s) and to communicate with
payors accurately.9. 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.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.MINIMUM 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 two or more
years of work experience. Requires knowledge of medical terminology
and a broad understanding of all common insurance and payor types
and authorization requirements. 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 QUALIFICATIONSWork experience with the Company's
systems and processes is preferred. Previous cash collections
experience is preferred. May have related experience with financial
institution or background.Additional related education and/or
experience preferred.DATE APPROVED 03/13/2016
Keywords: Banner Health, Mesa , Senior Patient Financial Services Representative - Medicare and Medicare Advantage, Sales , Mesa, Arizona
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