Primary City/State:
Mesa, Arizona
Department Name:
ER Registration-Hosp
Work Shift:
Night
Job Category:
Revenue Cycle
You have a place in the health care industry. 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. Apply today.
The Senior Patient Access Services Representative's first and foremost responsibility is to educate our patients on their financial responsibility, walk them through their options, and collect their amount due. This could mean having lengthy conversations about their benefits, what is owed, and why. We have multiple options for patients who are unable to meet their financial responsibility at time of service and would need to be comfortable having these conversations regularly - applying for financial assistance due to income - applying for Banner financing/credit card - going over the process of applying for state Medicaid, etc. Additionally, we verify all demographic information with every patient to ensure a smooth and seamless billing process and clinical follow up. All of this work is done bedside with a -workstation on wheels- that PAS Reps will take with them into each patient room. Performance is measured in a few ways with personal metrics - productivity (how many patients completed per hour) - collections (a % of your opportunity) - and accuracy (% of accounts completed correctly resulting in no billing denials).
Sunday, Monday and Tuesday 6PM - 6AM (Mandatory 3 Banner Holidays Per Year - Mandatory 9 On-Call Shifts Per Year, holidays and on-call shifts are based on a yearly rotation - will be issued during first week)
Enjoy a flat rate $1/hour weekend shift differential and an 18% night shift differential when applicable.
Located on an 80-acre campus in Mesa, Arizona, Banner Desert Medical Center is one of Arizona's largest and most comprehensive hospitals and is recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. We provide an abundance of exceptional opportunities with more than 600 licensed beds, including over 100 dedicated to children. Areas of excellence include high-risk pregnancy and neonatal care, obstetrics and gynecology, pediatrics, cardiology, oncology and emergency medicine. With 21 operating rooms, we offer a full range of surgical specialties and advanced technology that includes the daVincir Surgical System. About Banner Children's Hospital at Desert If you desire to provide the best care possible to the most vulnerable patients, come to Banner Children's Hospital at Desert in Mesa, Ariz. Within our 248-bed, state-of-the-art facility, specially trained nurses, physicians and other clinical professionals utilize the most advanced technology - including iCare ICU monitoring and robotic surgery - to provide high quality, child-friendly, family-centered care. Our facilities feature a recently expanded 104-bed NICU, a 24-bed PICU, six pediatric ORs and a 26-bed ED. We also offer dedicated pediatric rehab, radiology, oncology and hematology capabilities. With clinical diversity, exceptional training programs and a supportive culture, this is a place where you can grow in your career as you help our very special patients.
POSITION SUMMARY
This position provides leadership, precepts, training and offers on-going guidance as needed for an admitting/registration team. This position conducts customer service, registration, point of service collections, may validate and/or obtain authorizations from payers in order to maximize reimbursement. Provides a customer-oriented interaction with each patient in order to maximize customer experience. Obtains all required consents for each registration. Document all facets of the registration process, loads correct payer(s) to each account and meet accuracy goals as determined by management. Collect payments and regular collection targets as determined by management. May perform financial counseling when appropriate. Meets productivity targets as determined by management. Demonstrates the ability to resolve customer issues and provide excellent customer service.
CORE FUNCTIONS
Helps provide a positive customer experience by welcoming patient to facility, introducing self, explaining what rep intends to do with patient, thanking them for choosing Banner Health. 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. Serves 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. Assesses the needs of the department and may flex employees shift as appropriate. 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 pre-registration/registration processes, verifies eligibility and obtains authorizations submits notifications and verifies authorizations for services. Verifies patient's demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents and documentation required by the patient's insurance plan(s). Must be able to consistently meet monthly individual accuracy goal as determine by management.
Verifies and understands insurance benefits, collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned collection attempts may be made at the bedside. Must be able to consistently meet monthly individual collection target as determined by management.
May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources, offers and assists patients with applying for Medicaid. Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program).
Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and maximize service excellence.
Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Works to meet the patient's needs in financial services.
Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date and inputs information accurately. Identifies opportunities to improve work process and practices good teamwork.
Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, may precept new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team.
Works independently under general supervision, leads and follows structured work routines. Works with multiple applications in order to perform job functions. 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 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. Employees working at Banner Behavioral Health Hospital or the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.
PREFERRED QUALIFICATIONS
CHAA certification is preferred. Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred.
Additional related education and/or experience preferred.
EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)
Our organization supports a drug-free work environment.
Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
