• Senior Patient Financial Services Representative - Medicare

    Job Number
    226776
    Facility
    Banner--Univ Corporate
    Department
    PBO Payer Units-BUMG-Corp
    Address : Location
    US-AZ-Tucson
    Work Schedule
    Day
    Position Type
    FT: Full-Time
    Posting Category
    Billing / Registration / Scheduling
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    If you’re looking to leverage your abilities to make a real difference – and real change in the health care industry – you belong at Banner Health. With facilities in six western states, we’re committed to not only providing the finest care possible, but to advancing the way care is provided. To achieve our vision, we seek driven professionals who embrace change and who possess the passion and skills to make it happen.

     

    The Banner University Medical Group Tucson Physician Billing Office and is responsible for billing and following up on services provided by our physicians.

     

    This position will coordinate and assign the day to day work for each Medicare team member.  The goal of our PFS Senior Rep is the timely handling of patient insurance billing and collections to ensure reimbursement for provider services rendered. This Senior Representative is instrumental in identifying and reporting trends, will attend payer meetings to discuss and problem solve which will allow us to ensure reimbursement for our physician services. Will assist the team with day to day operational questions and workflows. In this position, you will assist in the training of staff members and in providing leadership to the Medicare Team as needed. You will draw on your leadership and training skills to support the team, and offer on-going guidance as needed.

     

    Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

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    About Banner Health Corporate
    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.

     

    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 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

    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.

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