Primary City/State:

Mesa, Arizona

Department Name:

Banner Staffing Services-AZ

Work Shift:

Day

Job Category:

Revenue Cycle

POSITION SUMMARY

This position is responsible for scheduling and financially clearing patients for outpatient, inpatient or recurring procedures in one continuous workflow. Accurately schedules for a range of services as well as registration tools to complete all points of registration, ABN's, patient liability estimates, financial counseling and collections for scheduled services.

CORE FUNCTIONS

1. Receives complete and valid physician orders for scheduling. Uses department procedures and training to schedule patients for outpatient, inpatient or recurring procedures using computerized scheduling systems. Displays competency for physician preferences, special needs related to the diagnosis or age of the patient. Resolves scheduling conflicts, as needed.

2. Enters all required patient information in computerized scheduling system. May prepare charts and manages files within regulatory requirements. Documents all information regarding patient re-schedules.

3. Demonstrates the ability to prioritize workload in order to accurately complete daily work list. This may include working with the ordering provider and/or payer to fully clear a patient's account prior to the date of service. Maintains daily focus on attaining productivity standards.

4. May verbally educate patients or patient’s agent regarding the service(s) they will receive when necessary. This includes but may not be limited to prep for procedure. Responds to diverse questions and/or refers to appropriate clinical staff as situationally appropriate.

5. Demonstrates a thorough understanding of insurance guidelines for scheduled services. Proficiently verifies, understands and explains insurance benefits. Accurately creates patient estimates for services rendered using estimator tools. Educates patients on insurance benefits and estimate. Collects patient responsibility. Assists patients with financing options and/or set payment plans for all patients that are not able to pay their full liability at the time of service. Follows escalation protocols for accounts not meeting the financial clearance standards by working with the ordering physician, scheduling departments and hospital CMO for resolution. Consistently meets monthly individual collection targets as determined by management.

6. Conducts customer friendly interactions over the phone, demonstrating a positive patient experience through effective communication. Demonstrates clear understanding that this position creates the first impression for our patient's experience with Banner Health. Answers all telephone inquiries in a timely and professional manner.

7. May obtain and/or validate authorizations for scheduled procedures.

8. Completes and/or attends training and education sessions, including facility department meetings within approved organizational guidelines and time frames. Adheres to Banner Health's organizational policies and procedures for relevant location and job scope.

9. Recommends new approaches for enhancing workflow, and/or patient experience. May participate in facility strategy session to improve throughput for scheduled services and/or provider experience. Performs other duties as assigned by management.

MINIMUM QUALIFICATIONS

High school diploma/GED is required.

Requires a proficiency level typically achieved in two years as a registration representative, auditor, in medical office operations and/or experience in healthcare insurance and billing.

Certification for CRCR required within one year of hire.

Business skills and experience in the assigned work area are required. Must be detail oriented and able to manage priorities. Must be able to maintain high productivity standard with minimal errors. Advanced abilities in the use of common office software, word processing, spreadsheet, and database software are required. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Excellent organizational skills, human relations, and communication skills required.

PREFERRED QUALIFICATIONS

Associate’s degree in Business Management or equivalent preferred.

Certification for CHAA preferred.

Additional related education and/or experience preferred.

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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