[Hiring] Patient Financial Services Representative @Banner Health

Role Description

The Patient Financial Services Representative CBO will be responsible for checking status on claims via payer portal, phone calls or emails depending on payer, taking necessary actions to resolve denials and ensure payment. Actions may include, but are not limited to:

• Verifying eligibility
• Verifying credentialing of providers
• Sending to coding for changes
• Providing medical records for proof of medical necessity

Will be identifying trends and issues with payers and other duties as needed to help with account receivables and denial resolution.

Systems frequently used: Cerner, Nextgen, FinThrive, MS4, Insurance portals

Monday - Friday 8:30am - 5pm AZ Time (some flexibility after training)

This can be a remote position if you live in the following states only: AK, AZ, AR, CA, CO, GA, FL, IA, ID, IN, KS, KY, LA, MD, MI, MO, MN, MS, NH, NM, NY, NC, ND, NE, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WI, WV, WA, & WY

Qualifications

• High school diploma/GED or equivalent working knowledge
• Knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience
• Ability to manage multiple tasks simultaneously with minimal supervision and to work independently
• Strong interpersonal, oral, and written communication skills
• Strong knowledge in the use of common office software, word processing, spreadsheet, and database software

Requirements

• May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner
• As assigned, reconciles, balances and pursues account balances and payments, and/or denials
• May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors
• Builds strong working relationships with assigned business units, hospital departments or provider offices
• 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
• 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

Benefits

• Estimated Pay Range: $18.02 - $27.03 / hour
• Banner Health is committed to pay equity and transparency
• Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location

Company Description

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.