Primary City/State:

Mesa, Arizona

Department Name:

C/P-CCMC-Cardio Thoracic-Clini

Work Shift:

Day

Job Category:

Revenue Cycle

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, we want to hear from you. 

 

Pediatric Cardiology takes great care of our patients because we have great physicians who truly care for our patients, and an engaged staff that makes it happen every day for our patients. Going the extra mile is the minimum for us. Pediatric Cardiology take a simple approach to health care, the better we care for our co-workers and staff, the better care we can provide to our patients. If you are looking to be challenged, work with a large team that is focused on getting the absolute best results for patients, Pediatric Cardiology is just the place to start or continue your journey in healthcare. 

 

Our Peds PFS Reps work seamlessly together as they handle all functions in the Front Office. As a Patient Financial Service Representative for Peds Cardiology you will have an opportunity to work with a wonderful team helping patients in the beginning of their lives. You will have regular opportunities to learn new things and utilize your exceptional customer service skills to make a difference in the lives in our patients. Your passion will shine while you assist patients and coworkers with daily responsibilities as checking in and out patients, collecting copays, scheduling appointments and returning messages. Bring your dedication and determination to succeed. You will have a daily opportunity to learn new things and utilize your decision-making skills to make a difference in the lives in our patients. A career with Banner is great if you are just starting out or have many years’ experience. Everyone at Banner contributes to our patients lives! Pediatric Cardiology looks to empower our staff to make decisions, and let your natural talents grow into a role that best fits your strengths. Pediatric Cardiology offers a chance to work directly with our patients and with an engaged group of physicians and staff. Pediatric Cardiology is looking for people that want to challenge themselves, give ideas to make positive changes in our patient lives, and want a positive work environment built on communication and trust. 

 

Monday-Friday 8:30am-5:00pm

At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care.

POSITION SUMMARY
This 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 FUNCTIONS
1. Performs 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.

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

3. 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.

4. 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.

5. 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.

6. 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.

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

8. 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.

9. 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.


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.

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.

Employees working at Banner Scottsdale Sports Medicine, second floor must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

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/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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