Senior Patient Financial Services Representative - CBO

Job Number
205087
Banner Health - Western Region
Shift
Day
Department
Banner Health - Western Region - Emp Benefits Costs-Shared Svcs
Position Type
FT: Full-Time
Street Address
1801 16th Street
City & State
US-CO-Greeley
Posting Category
Billing / Registration / Scheduling
New Grad
No

---

About Banner Health - Western Region
Whether you are seeking a clinical or non-clinical career, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. Banner Health's Western Region consists of facilities that offer comprehensive care in friendly, small-town environments. With Banner Health Western Region you get a unique combination of the latest technology at your workplace and relaxed living.

 



Truven-2013
Stage7-2013

About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to change the way care is provided. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

---

Job Summary

The purpose of this position is to coordinate and facilitate 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.


Essential Functions

  • 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.

  • 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.

  • 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 companys collection/self-pay policies to ensure maximum reimbursement.

  • 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.

  • 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.

  • 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.

  • Reduces Accounts Receivable balances. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts.

  • Uses systems to provide statistical data, prepare issues list(s) and to communicate with payors accurately.

  • 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 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 Qualifications

    Work experience with the Companys 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.