Senior Patient Financial Services Representative - Medical Mutispecialty Clinic

Job Number
207849
Banner - University Medical Center Tucson
Shift
Day
Department
Banner-- Univ Med Ctr Tucson - Surg OP-60PC-Clinic
Position Type
FT: Full-Time
Street Address
1501 N. Campbell Ave.
City & State
US-AZ-Tucson
Posting Category
Billing / Registration / Scheduling

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Do you want to grow your career with an award-winning health care leader in a dynamic part of the country?

Would you like to help drive change with an innovative organization?

If you want more and better options for your career then YOU belong at BANNER – University Medical Group.

 

At Banner - University Medical Group (BUMG), we’re creating a world class medical organization that brings together a leadership team committed to a physician-focused structure, while navigating the challenges of moving from a volume-based to value-based health care system.

 

 

We are currently seeking a dynamic and customer service driven Senior Patient Financial Services Representative for our growing Medical Multispecialty Clinic.

 

This position's main focus will be surgery scheduling for the Emdoscopy Lab procedures.

Preferred candidates will be Bilingual in English/Spanish and have at least 3 years of related experience.

 

 

6OPC Medicine Multispecialty clinic is located at the Tucson Campus of Banner University Medical Center.  Positions hours generally run Mon-Fri 8am-5pm.

 

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About Banner - University Medical Center Tucson
Banner - University Medical Center Tucson is nationally recognized for providing exceptional patient care, teaching future health-care professionals and conducting groundbreaking research. Also located on the campus is Diamond Children's - recognized for its specialized pediatric services including neonatal and intensive care, emergency medicine and cancer therapies. Banner - University Medical Center Tucson is Southern Arizona's only Level 1 Trauma Center, meaning we care for the most critically injured patients. The hospital is consistently listed among the nation's top hospitals in the prestigious Best Hospitals ranking by U.S. News & World Report. Our nurses' innovative, safe and thoughtful care has been recognized with Magnet ™ designation from the American Nurses Credentialing Center. The hospital's physicians are full-time faculty of the University of Arizona College of Medicine - Tucson. Our specialty services include comprehensive heart and cancer care, advanced neuroscience techniques and a multi-organ transplant program. For more information about Tucson, please visit: VisitTucson.org

 

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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 make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

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Job Summary

This position provides leadership for an admitting/registration team. Conducts registration and obtains financial reimbursement for all patients accessing service at medical facilities. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance; resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on hospital legal forms i.e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy. Collects and releases patient valuables in accordance with Administrative Policies.

 

Essential Functions

  • Serve as an example to peers for both behaviors and performance of job functions. Provide leadership and training to Patient Financial Services Representatives, and act as a knowledge resource for internal customers. Serve as a primary resource in complex and/or sensitive cases. Oversees patient flow during the shift and assigns job duties to staff to ensure patient flow is maintained at an optimal level. Resolves employee/patient issues that arise during shift and communicates issues to supervisor for follow up. Trains new hires and/or internal transfers thoroughly and provide on-going guidance to ensure their success.

 

  • 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.

 

  • 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.

 

 

Minimum Qualifications

High school diploma/GED or equivalent working knowledge.

High School Diploma, GED, or equivalent education. 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. Strong knowledge 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. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.

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.