Patient Financial Services Representative

3 days ago

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Banner Health

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hospital care • home care • hospice care • nursing registries • surgery centers

10,000+

Description

• This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. • Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. • May be assigned to process 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. • 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 company’s collection/self-pay policies to ensure maximum reimbursement. • May be assigned to research 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, payment and accounting issues. • Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. • Reduces Accounts Receivable balances. • Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. • Works independently under general supervision, following defined standards and procedures. • Reports to a Supervisor or Manager. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner.

Requirements

• 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. • Work experience with the Company’s systems and processes is preferred. • Previous cash collections experience is preferred. • Additional related education and/or experience preferred.