Primary City/State:

Gilbert, Arizona

Department Name:

C/P-BGMC Ortho-Clinic

Work Shift:

Day

Job Category:

Revenue Cycle

Good health care is key to a good life. At Banner Health, we understand that, and that???s why we work hard every day to make a difference in people???s lives. We???ve united under a common goal: Make health care easier, so life can be better. It???s a lofty goal, but it???s one we???re committed to seeing through. Do you like the idea of making a positive change in people???s lives ??? and your own? If so, this could be the perfect opportunity for you. Apply now.

Banner Orthopedics is an energetic, busy clinic, serving a vast age range of patients from pediatric to geriatric. We strive to provide a customer obsessed environment and provide excellent patient care from phones to discharge. Patients come to us from all over the east valley and we pride ourselves on the relationship we have with primary care physicians in and outside of the Banner Health system.

As a Senior Patient Financial Service Rep within the Orthopedic Surgery Center, you are a key stakeholder for helping to set the tone for our patients visit. You will find that our department has a family like feel with a passion for providing a terrific experience for patients, their families and each other. Our Senior Patient Financial Service Reps use their skills for scheduling, insurance verifications, checking patients in/out, prior authorizations, and chart prepping, and collection of patient responsibility. As a Senior Rep you are also responsible for training new employees and being a subject manner expert for questions from our team of 5 reps.

Hours: 8:00AM-5:00PM Mon-Fri

Location: 1920 N Higley Rd Suite 206 Gilbert AZ 85234

**Preferred Experience: Previous Leadership experience; knowledge of insurance benefits; experience working in a physician clinic**

At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care.

POSITION SUMMARY
This position provides leadership, precepts, training and offers on-going guidance as needed for an admitting/registration team. This position conducts registration, point of service collections and obtains authorizations and forms needed to maximize reimbursement. Document all facets of the registration process and meet accuracy goals as determined by management. Collect payments and meet regular collection targets as determined by management. Demonstrates the ability to collect payments, to resolve customer issues and provide excellent customer service. Explains and obtains signatures on legal forms and registration materials.

CORE FUNCTIONS
1. 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. 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.

2. 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.

3. 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.

4. 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).

5. 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.

6. 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.

7. 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.

8. 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.

9. 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 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
Work experience with the Company???s 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.